Manchester Eyecare LLC
Organization Active NPI Optometrist · North Manchester, IN
NPI 1780241547 · NPPES record last updated Feb 10, 2021
Key facts
- NPI
- 1780241547
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MANCHESTER EYECARE LLC
- Practice address
- 901 State Road 114 W
North Manchester, IN 46962-1967 - Phone
- (260) 306-3937
- Fax
- (260) 982-1822
- NPI assigned
- May 28, 2019
- Organization subpart
- No
Authorized official
- Name
- Darren Minnich
- Title
- Owner
- Phone
- (260) 982-8798
Practitioners 8
-
Haylee Bourlier, OD
-
Bradley S Camp, O.D.
-
Jillian R Geiger, O.D.
-
Darren L Minnich, O.D.
-
Megan Schlipf, OD
-
Myra Renee Weber, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190624002920 | IN | Part B Supplier - Clinic/Group Practice | 8628302742 |
Receives reassigned benefits from 7 practitioners Practice locations: North Manchester, IN |
National Provider Directory
Locations
1752 E Market St
Nappanee, IN 46550
Phone (574) 773-4341
901 State Road 114 W
North Manchester, IN 46962
Phone (260) 306-3937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
901 State Road 114 W
North Manchester, IN 46962-1967
Mailing address
1752 E Market St
Nappanee, IN 46550-9216
Phone (574) 773-4341
Other providers in North Manchester, IN
- Beth Lisa Kaskel
- Michaela Lassa
- Lifemed, Inc.
- Manchester Clinic, LLC
- Manchester Community Schools
- Manchester Family Dentistry, PC
- Alison Dael Matheny
- Midwest Eye Consultants, P.C.
- Kelly Louise Mullen
- Daniel P Myers
All providers in North Manchester, IN · Optometrist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.