Manchester Family Vision Center PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MANCHESTER FAMILY VISION CENTER PC

Practice address

1214 W Main St
Manchester, IA 52057-2305

Phone

(563) 927-3682

Fax

(563) 927-6397

NPI assigned

Jan 25, 2006

Last updated

Oct 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry L Brown, OD

Title

President

Phone

(563) 927-3682

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel E Mersch, OD

  • Optometrist
  • Manchester, IA
  • NPI 1619947900
  Medicare reassignment

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1811967557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520570217",
            "telephone_number": "563-927-3682",
            "fax_number": "563-927-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520572305",
            "telephone_number": "563-927-3682",
            "fax_number": "563-927-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER FAMILY VISION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-927-3682",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0796755",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Robert Lujan, D.C.
• Denise Lympus, ARNP
• Nicolette Mabb, DNP, ARNP, PMHNP-BC
• Brooke Ann Mactaggart, CPNP-PC
• Manchester Dental DC
• Nikolas S May, M.D.
• Sara Mae McCool, ARNP
• Thomas David McCoy, D.D.S.
• Mark McGill
• Kyle McGrane, DC

• Optometrist in Manchester, IA
• Providers in Manchester, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.