Organization Active NPI

Todd McManus OD & Assoc Inc

  • Optometrist
  • Enon, OH
National Provider Identifier
1447437132
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5225/T2129 Issued in OH
Legal business name
TODD MCMANUS OD & ASSOC INC
Practice address
31 Rebert Pike
Enon, OH 45323-1826
Phone
(937) 864-2831
Fax
(937) 864-1197
NPI assigned
Jan 25, 2008
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Todd Britton McManus, O.D.NPI 1265586416
Title
Owner
Phone
(937) 864-2831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5225/T2129 OH Primary

Addresses

Primary practice location

31 Rebert Pike
Enon, OH 45323-1826

Mailing address

31 Rebert Pike
Enon, OH 45323-1826
Phone (937) 864-2831

Other identifiers 1

IdentifierTypeStateIssuer
2584207MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080207000184 OH Part B Supplier - Clinic/Group Practice 8224111760 Receives reassigned benefits from 1 practitioner
Practice locations: Xenia, OH; Yellowsprings, OH

National Provider Directory

National Provider Directory

Locations

31 Rebert Pike
Enon, OH 45323
Phone (937) 864-2831

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1447437132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 REBERT PIKE",
            "city": "ENON",
            "state": "OH",
            "postal_code": "453231826",
            "telephone_number": "937-864-2831",
            "fax_number": "937-864-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 REBERT PIKE",
            "city": "ENON",
            "state": "OH",
            "postal_code": "453231826",
            "telephone_number": "937-864-2831",
            "fax_number": "937-864-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD MCMANUS OD & ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "BRITTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-864-2831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5225/T2129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2584207",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.