Organization Active NPI

Manio Vision Center, Inc

  • Optometrist
  • Carson, CA
National Provider Identifier
1548587181
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9713T Issued in CA
Legal business name
MANIO VISION CENTER, INC
Practice address
860 E Carson St Ste 107
Carson, CA 90745-7941
Phone
(310) 549-2020
Fax
(310) 549-2797
NPI assigned
Apr 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Dr. Seraphim Manio, O.D.
Title
President
Phone
(310) 549-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9713T CA Primary

Addresses

Primary practice location

860 E Carson St Ste 107
Carson, CA 90745-7941

Mailing address

860 E Carson St Ste 107
Carson, CA 90745-7941
Phone (310) 549-2020

Other identifiers 1

IdentifierTypeStateIssuer
1750317244OtherCANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1548587181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E CARSON ST STE 107",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457941",
            "telephone_number": "310-549-2020",
            "fax_number": "310-549-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E CARSON ST STE 107",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457941",
            "telephone_number": "310-549-2020",
            "fax_number": "310-549-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIO VISION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "MANIO",
        "authorized_official_first_name": "SERAPHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-549-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9713T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750317244",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.