Individual provider Active NPI

Regina Louise Manes, O.D.

  • Vision Therapy Optometrist
  • West Palm Beach, FL
National Provider Identifier
1467445312
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OPC2192 Issued in FL
Practice address
319 Belvedere Rd
Suite 1
West Palm Beach, FL 33405-1252
Phone
(561) 832-0677
Fax
(561) 833-1544
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2192 FL
Pediatric Optometrist 152WP0200X OPC2192 FL
Vision Therapy Optometrist 152WV0400X OPC2192 FL Primary

Addresses

Primary practice location

319 Belvedere Rd
Suite 1
West Palm Beach, FL 33405-1252

Mailing address

319 Belvedere Rd
Ste 1
West Palm Beach, FL 33405-1243
Phone (561) 832-0677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000335 FL Practitioner - Optometry 7517132079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William a. Olivos, OD, PAGroup PAC ID 0143422667, 3 clinicians

Practice addresses (Care Compare)

2710 SW Port St Lucie Blvd
Port Saint Lucie, FL 34953-2849
Phone (772) 878-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William a. Olivos, OD, PA CurrentSince Jun 20, 2022 Accepting new patients
Jasper Eye Care, Inc. Optometrist CurrentSince Jan 1, 2015 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Nov 14, 2018 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

4976 S 25th St
Fort Pierce, FL 34981
Phone (772) 460-8487

13534 Beach Blvd
#3
Jacksonville, FL 32224
Phone (904) 383-3400

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

3180 Northlake Blvd
Palm Beach Gardens, FL 33403
Phone (561) 844-8665

3345 S Congress Ave
Palm Springs, FL 33461
Phone (561) 964-0220

1477 NW Saint Lucie West Blvd
#105
Port Saint Lucie, FL 34986

2710 SW Port St Lucie Blvd
Port St Lucie, FL 34953
Phone (772) 446-1271

319 Belvedere Rd
Ste 1
West Palm Beach, FL 33405
Phone (561) 832-0677

Organizations & group practices 5

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1467445312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BELVEDERE RD",
            "address_2": "STE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334051243",
            "telephone_number": "561-832-0677",
            "fax_number": "561-833-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BELVEDERE RD",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334051252",
            "telephone_number": "561-832-0677",
            "fax_number": "561-833-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANES",
        "first_name": "REGINA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2192",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC2192",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC2192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.