David Luigi Manzo, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

DM048656 Issued in MI

Practice address

621 W 11 Mile Rd
Royal Oak, MI 48067-2201

Phone

(248) 541-4200

Fax

(248) 541-4969

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Michigan Medical School, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Eye Care Provider PLLCGroup PAC ID 1254611809, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.14 of 100Reported as group

Quality

97.39

Improvement activities

40

Cost

77.28

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmanzo1140116@direct.hfhs.org
• Direct secure messaging: dmanzo@frasereye.direct.eyemdemr.com
• Direct secure messaging: david.manzo.1@11987.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michigan Eye Care Provider PLLC

  • Ophthalmology Physician
  • Fraser, MI
  • NPI 1598151318
  Medicare reassignment Care Compare group NPD
• Eye Care Providers of Michigan PC

  • Ophthalmology Physician
  • Port Huron, MI
  • NPI 1134254071
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1386648103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672201",
            "telephone_number": "248-541-4200",
            "fax_number": "248-541-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672201",
            "telephone_number": "248-541-4200",
            "fax_number": "248-541-4969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33080 Utica Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Fraser",
            "state": "MI",
            "postal_code": "480262038",
            "country_code": "US",
            "telephone_number": "586-296-7250",
            "fax_number": "586-296-0276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZO",
        "first_name": "DAVID",
        "middle_name": "LUIGI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "DM048656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4113369",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4229975 TYPE 10",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmanzo@frasereye.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "Medical Records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33080 Utica Rd Ste B",
            "city": "Fraser",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480262038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nia Manning
• William Joseph Mansfield, M.D.
• Sabba Mansoor
• Saimabanu S Mansuri, M.D.
• Vinayata Manuballa Kareti, D.O.
• Zaiba Mapkar, M.D.
• Maureen June Mapletoft, MSW
• Anna M Marandici, MD
• Emily Maraskine
• Marina Maraskine, MD

• Ophthalmology Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.