Norma Manjarrez, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO-003042 Issued in AZ

Practice address

2900 S Pacific Ave
Yuma, AZ 85365-3500

Phone

(928) 414-0103

Fax

(928) 314-0119

NPI assigned

Oct 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Norma Manjarre Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1700606597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3814",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853503814",
            "telephone_number": "928-304-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S PACIFIC AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653500",
            "telephone_number": "928-414-0103",
            "fax_number": "928-314-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJARREZ",
        "first_name": "NORMA",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "LDO-003042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORMA",
            "last_name": "MANJARRE",
            "credential": "LDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deanna Manarang, PHARMD
• Anjali Mandal, MD
• Manek Inc
• Morgan Mangum
• Shannon R Manigault, COTA/L
• Elise Ann Mankosa
• Mann Fortuna Dental, LLC
• Mann Pacific Dental, LLC
• Manith Mann, MD
• Roopinder Singh Mann, DMD

• Optician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Optician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.