David Earl Malmanger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2204 Issued in MN

Practice address

1575 20TH St NW Ste 101
Faribault, MN 55021-2931

Phone

(507) 332-9900

Fax

(507) 209-6220

NPI assigned

Jul 27, 2006

Last updated

Sep 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Clinic of Faribault, PAGroup PAC ID 9436052677, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.03 of 100Reported as group

Quality

100

Improvement activities

40

Cost

70.11

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Clinic of Faribault PA

  dba Richie Eye Clinic

  • Clinic/Center
  • Faribault, MN
  • NPI 1831154681

  Optometrist

  Medicare reassignment Care Compare group NPD
• All Eyes PLLC

  • Optometrist
  • Shakopee, MN
  • NPI 1053557256
  Medicare reassignment NPD
• Hadden Eyecare Associates

  • Optometrist
  • Bloomington, MN
  • NPI 1992991426
  Medicare reassignment NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1700890803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW STE 101",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212931",
            "telephone_number": "507-332-9900",
            "fax_number": "507-209-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW STE 101",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212931",
            "telephone_number": "507-332-9900",
            "fax_number": "507-209-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMANGER",
        "first_name": "DAVID",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M&T Sisters of Serendipity PLLC
• Jacqueline Maas
• Reena Madhok, OD
• Lisa R Malecha, LPCC
• Abigail Malmanger, DMD
• Thomas Arthur Mans, ADT
• Maplewood Homes Assisted Living
• Mark L Ohlsen (The Dentists House LLC)
• Alyssa Markos
• Hope Michelle Martinez, APRN, CNP

• Optometrist in Faribault, MN
• Providers in Faribault, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.