Individual provider Active NPI

Manju Mathew, O.D.

  • Optometrist
  • Richboro, PA
National Provider Identifier
1497137228
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003239 Issued in PA
Practice address
936 2ND Street Pike
Richboro, PA 18954-1527
Phone
(215) 485-5384
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00669000 NJ
Optometrist 152W00000X 008310 NY
Optometrist 152W00000X 11076T TX
Optometrist 152W00000X OEG003239 PA Primary

Addresses

Primary practice location

936 2ND Street Pike
Richboro, PA 18954-1527

Mailing address

54 Tamarack LN
Pomona, NY 10970-2012
Phone (845) 641-3464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, TX, MA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20211118000418 PA Practitioner - Optometry 2062798960 Reassigns benefits to 5 organizations
I20240808001438 NY Practitioner - Optometry 2062798960 Reassigns benefits to 2 organizations
I20250121002521 TX Practitioner - Optometry 2062798960 Reassigns benefits to 5 organizations
I20250123000513 MA Practitioner - Optometry 2062798960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 University Dr
Amherst, MA 01002-2243
Phone (413) 549-9400

426 N Main St
East Longmeadow, MA 01028-1850
Phone (413) 525-4888

489 Bernardston Rd
Greenfield, MA 01301-1238
Phone (413) 772-2571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008310NYMDRegistered Dietitian
OEG003239PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Thurmond Eye Associates, PLLC CurrentSince Mar 15, 2025 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jan 14, 2025 Accepting new patients
Tyler Family Circle of Care CurrentSince Jan 24, 2025 Accepting new patients
Empire Vision Center, Inc CurrentSince Jul 1, 2024 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Dec 22, 2025 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jan 20, 2025 Accepting new patients
Kathleen Joyce OD PLLC CurrentSince Nov 16, 2021 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Dec 22, 2025 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Best Vision, Inc Optometrist CurrentSince Sep 30, 2025 Accepting new patients
Tyler Family Circle of Care CurrentSince Jan 24, 2025 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jan 20, 2025 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Oct 10, 2024 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jan 20, 2025 Accepting new patients
Visionworks, Inc CurrentSince Jun 1, 2024 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jan 14, 2025 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Brownwood Optometrists, P.C. Optometrist CurrentSince Apr 30, 2025 Accepting new patients
Bergen Optometry Group, PA Optometrist PastSince Mar 1, 2017 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations (25 of 26)

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

426 N Main St
East Longmeadow, MA 01028
Phone (413) 525-3010

489 Bernardston Rd
Greenfield, MA 01301
Phone (413) 772-2571

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

12469 Olean Rd
Ste 1
Chaffee, NY 14030
Phone (716) 496-7454

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

854 Plaza Blvd
Lancaster, PA 17601
Phone (717) 295-3111

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155

936 2nd Street Pike
Richboro, PA 18954
Phone (215) 485-5384

923 Paoli Pike
West Chester, PA 19380
Phone (610) 692-8300

310 Early Blvd
Early, TX 76802
Phone (325) 643-1826

4775 Loma del Sur Dr
El Paso, TX 79934
Phone (512) 889-2020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

2410 E Interstate Highway 2
Mission, TX 78572
Phone (956) 585-5783

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

214 E Houston St
Tyler, TX 75702
Phone (903) 593-1892

523 S Fannin Ave
Tyler, TX 75702

1519 E 6th St
Weslaco, TX 78596
Phone (956) 968-3171

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1497137228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 TAMARACK LN",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702012",
            "telephone_number": "845-641-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 2ND STREET PIKE",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541527",
            "telephone_number": "215-485-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "MANJU",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00669000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008310",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11076T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

Verify at the official NPI Registry.