Individual provider Active NPI

Brian K Manspeaker, OD

  • Optometrist
  • Cumberland, MD
National Provider Identifier
1811952088
Registry record updated Dec 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0840 Issued in MD
Practice address
2 Frederick St
Cumberland, MD 21502-2329
Phone
(301) 777-7777
Fax
(301) 777-7798
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0840 MD Primary

Addresses

Primary practice location

2 Frederick St
Cumberland, MD 21502-2329

Mailing address

2 Frederick St
Cumberland, MD 21502-2329
Phone (301) 777-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20041124000338 MD Practitioner - Optometry 8123083565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA0640MDMDOptometrist
TA0840MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Try State Eye LLC Optometrist Past Accepting new patients
Dependable Eye Care Inc Optometrist PastSince Mar 13, 2008 Accepting new patients
DRS Resnick & Manspeaker Oa PA Optometrist PastSince Sep 1, 2000 Accepting new patients

Organizations & group practices 3

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1811952088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FREDERICK ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022329",
            "telephone_number": "301-777-7777",
            "fax_number": "301-777-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FREDERICK ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022329",
            "telephone_number": "301-777-7777",
            "fax_number": "301-777-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSPEAKER",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.