Individual provider Active NPI

Manqian Tu, OD

  • Optometrist
  • Havre de Grace, MD
National Provider Identifier
1801855630
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2455 Issued in MD
Practice address
920 Revolution St
Havre de Grace, MD 21078-3748
Phone
(410) 939-2200
Fax
(410) 939-5980
NPI assigned
Mar 21, 2006
Last updated
Jan 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001427 PA
Optometrist 152W00000X TA2455 MD Primary

Addresses

Primary practice location

920 Revolution St
Havre de Grace, MD 21078-3748

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other names 1

  • Amy Tu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041220000128 PA Practitioner - Optometry 7113984329 Reassigns benefits to 1 organization
I20180301001537 MD Practitioner - Optometry 7113984329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BFT Vision IncGroup PAC ID 4880779933, 6 clinicians

Practice addresses (Care Compare)

139 Ritchie Hwy
Suite B
Severna Park, MD 21146-1152
Phone (410) 544-7417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jan 30, 2017 Accepting new patients
Aeg Maryland Professional LLC Optometrist CurrentSince Apr 20, 2025 Accepting new patients
BFT Vision Inc Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jan 30, 2017 Accepting new patients

Locations

409 W Cold Spring Ln
Baltimore, MD 21210
Phone (410) 243-5656

73 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 662-1601

139 Ritchie Hwy
Ste B
Severna Park, MD 21146
Phone (410) 544-4717

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1801855630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 REVOLUTION ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783748",
            "telephone_number": "410-939-2200",
            "fax_number": "410-939-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "MANQIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001427",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "TU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.