Individual provider Active NPI

Benjamin Salvatore Maniaci, OD

  • Optometrist
  • Westland, MI
National Provider Identifier
1740519941
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004519 Issued in MI
Practice address
35184 Central City Pkwy
Westland, MI 48185-6215
Phone
(734) 427-5200
Fax
(734) 427-8136
NPI assigned
Dec 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004519 MI Primary

Addresses

Primary practice location

35184 Central City Pkwy
Westland, MI 48185-6215

Mailing address

655 W 13 Mile Rd
Madison Heights, MI 48071-1850
Phone (248) 577-3659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100420000819 MI Practitioner - Optometry 7113054339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

33100 S Gratiot Ave
Clinton Township, MI 48035-4036
Phone (586) 294-0120

35184 Central City Pkwy
Westland, MI 48185-6215
Phone (734) 427-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor LLC Optometrist CurrentSince Jan 17, 2010 Accepting new patients
Pcor, LLC Optometrist CurrentSince Jan 17, 2010 Accepting new patients

Locations

1961 S Telegraph Rd
Ste 101
Bloomfield Township, MI 48302
Phone (248) 972-2555

27903 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 598-3935

33100 S Gratiot Ave
Clinton Twp, MI 48035
Phone (586) 294-0120

3271 Union Lake Rd
Commerce Twp, MI 48382
Phone (248) 360-0121

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

22500 Haggerty Rd
Farmington Hills, MI 48335
Phone (248) 477-9300

4281 24th Ave
Fort Gratiot, MI 48059
Phone (810) 385-4000

15401 E Jefferson Ave
Grosse Pointe Park, MI 48230
Phone (313) 824-2401

1376 S Lapeer Rd
#A
Lake Orion, MI 48360
Phone (248) 693-3380

655 W 13 Mile Rd
Madison Hts, MI 48071
Phone (248) 577-3616

516 Highland Ave
Milford, MI 48381
Phone (248) 577-3616

504 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-2020

40895 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 233-6300

2025 25 Mile Rd
Shelby Township, MI 48316
Phone (248) 651-3937

29350 Southfield Rd
Southfield, MI 48076
Phone (248) 569-9017

44987 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 247-5910

22395 Eureka Rd
Taylor, MI 48180
Phone (248) 661-5100

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

735 John R Rd
Troy, MI 48083
Phone (248) 544-3290

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Interoperability endpoints

  • Direct secure messaging: bmaniaci7317@direct.hfhs.org

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": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1740519941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W 13 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711850",
            "telephone_number": "248-577-3659",
            "fax_number": "248-588-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35184 CENTRAL CITY PKWY",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481856215",
            "telephone_number": "734-427-5200",
            "fax_number": "734-427-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIACI",
        "first_name": "BENJAMIN",
        "middle_name": "SALVATORE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.