Michael Drach Mangas, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001786 Issued in IN

Practice address

2475 Cottage Ave
Columbus, IN 47201-4476

Phone

(812) 372-7782

NPI assigned

Dec 14, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1427110956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 LAKESIDE DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033610",
            "telephone_number": "812-376-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 COTTAGE AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472014476",
            "telephone_number": "812-372-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAS",
        "first_name": "MICHAEL",
        "middle_name": "DRACH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100051800A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Mak IV, M.D.
• Mary Mallay, MSW,LCSW, LCAC
• Tyrone Christopher A. Manalac, M.D.
• Natale Manes
• Megan Clemens Mangas, RN, CRNA
• Demi Marie Manley, RD
• Emily Mann
• Lenie Manuel
• Jill Marie Mao, DT SPECIALIST
• Patricia N March, P.A.

• Optometrist in Columbus, IN
• Providers in Columbus, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.