Individual provider Active NPI

Sumit Manhas, OD

  • Optometrist
  • Vestal, NY
National Provider Identifier
1558976027
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009278 Issued in NY
Practice address
3455 Vestal Pkwy E
Vestal, NY 13850-2134
Phone
(607) 722-2020
NPI assigned
Sep 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009278 NY Primary

Addresses

Primary practice location

3455 Vestal Pkwy E
Vestal, NY 13850-2134

Mailing address

156 Corliss Ave Apt 606
Johnson City, NY 13790-2070
Phone (607) 352-8017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230823002075 WA Practitioner - Optometry 9032521232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Spectrum Eye Care PSGroup PAC ID 3375432636, 3 clinicians

Practice addresses (Care Compare)

475 Bradley Blvd
Richland, WA 99352-4419
Phone (509) 943-2240

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
82.94
Improvement activities
40
Cost
77.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Full Spectrum Eye Care, P.S. Optometrist CurrentSince Oct 2, 2023 Accepting new patients
Full Spectrum Eye Care, PS CurrentSince Oct 2, 2023 Accepting new patients

Locations

475 Bradley Blvd
Richland, WA 99352
Phone (509) 895-4968

Organizations & group practices 2

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1558976027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 CORLISS AVE APT 606",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902070",
            "telephone_number": "607-352-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502134",
            "telephone_number": "607-722-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANHAS",
        "first_name": "SUMIT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.