Mark a. Manary, O.D., LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO3364 Issued in MO

Legal business name

MARK A. MANARY, O.D., LLC

Practice address

415 Conley Rd
Columbia, MO 65201-6468

Phone

(573) 499-1945

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Manary, O.D.

Title

Owner

Phone

(573) 489-2499

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1801983143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 BRAY AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030794",
            "telephone_number": "573-489-2499",
            "fax_number": "573-636-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CONLEY RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016468",
            "telephone_number": "573-499-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. MANARY, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "MANARY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-489-2499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318903838",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya Marbury, LCSW
• Chamelle Jan March, G.N.P.
• Patricia Sue Marchack, MS SLP
• Marianne B. Branham, LCSW, LLC
• Marilyn H. White, PH.D., P.C.
• Mark Stampehl, MD LLC
• Marcy Dawn Markes, APRN, FNP-BC, AE-C
• John Gregory Markley, M.D.
• Jordan Markley, MSW, LCSW
• Glendon Markollari

• Optometrist in Columbia, MO
• Providers in Columbia, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.