Individual provider Active NPI

Michael Kent Manion, OD

  • Optometrist
  • Dayton, OH
National Provider Identifier
1407953508
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5689 Issued in OH
Practice address
4457 Walnut St
Dayton, OH 45440-1379
Phone
(937) 306-1640
Fax
(937) 306-1573
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1747 KS
Optometrist 152W00000X 5689 OH Primary

Addresses

Primary practice location

4457 Walnut St
Dayton, OH 45440-1379

Mailing address

4457 Walnut St
Dayton, OH 45440-1379
Phone (937) 306-1640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kessler Eyecare, P.a. Optometrist Past Accepting new patients
Kessler Eyecare PA Optometrist PastSince Aug 27, 2014 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1407953508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 WALNUT ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454401379",
            "telephone_number": "937-306-1640",
            "fax_number": "937-306-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4457 WALNUT ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454401379",
            "telephone_number": "937-306-1640",
            "fax_number": "937-306-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANION",
        "first_name": "MICHAEL",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1747",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.