Manchester Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MANCHESTER EYE CARE, LLC

Practice address

14552 Manchester Rd
Ballwin, MO 63011-3959

Phone

(636) 227-8700

Fax

(636) 227-0679

NPI assigned

Oct 20, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Thomas Secoy, O.D.NPI 1417946518

Title

Owner

Phone

(636) 227-8700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Thomas Secoy, O.D.

  • Optometrist
  • Ballwin, MO
  • NPI 1417946518
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1497744593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14552 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113959",
            "telephone_number": "636-227-8700",
            "fax_number": "636-227-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14552 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113959",
            "telephone_number": "636-227-8700",
            "fax_number": "636-227-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "SECOY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-227-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Mali, OCCUPATIONAL THERAP
• Afshan Malik, LPC
• Nomana Malik
• Shannon Malon
• Manan Hearing LLC
• Manchester Operator LLC
• Beverly Jo Marien, RN,CNOR, CRNFA
• Lauren Markovich, OT
• Abigail Markus-Longland, PHARMD
• Duane Marquart, DC,DACBR

• Optometrist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.