Active NPI
Brian K Manspeaker, OD
- Optometrist
- Cumberland, MD
National Provider Identifier
1811952088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0840
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041124000338 | MD | Practitioner - Optometry | 8123083565 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA0640 | MD | MD | Optometrist |
| TA0840 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Try State Eye LLC | Optometrist | Past | Accepting new patients |
| Dependable Eye Care Inc | Optometrist | Past | Accepting new patients |
| DRS Resnick & Manspeaker Oa PA | Optometrist | Past | 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.
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-
- Optometrist
- Elkton, MD
- NPI 1043583156
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.