Individual provider Active NPI

Jamie Brooke Boyd Maneth, OD

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1972943496
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2322 Issued in NC
Practice address
7020 Six Forks Rd
Raleigh, NC 27615-6430
Phone
(919) 863-2020
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2322 NC Primary

Addresses

Primary practice location

7020 Six Forks Rd
Raleigh, NC 27615-6430

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140516001734 NC Practitioner - Optometry 3577786656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Wake Forest Optometry PAGroup PAC ID 8224084348, 2 clinicians

Practice addresses (Care Compare)

11724 Retail Dr
Wake Forest, NC 27587-7349
Phone (919) 562-5559

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Dec 1, 2014 Accepting new patients
Wake Forest Optometry PA Optometrist CurrentSince Apr 24, 2025 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Dec 1, 2014 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients

Locations

2042 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 851-0093

1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

7075 White Oak Rd
Garner, NC 27529
Phone (919) 282-0053

173 Grand Hill Pl
Holly Springs, NC 27540
Phone (919) 346-2062

1001 Widewaters Pkwy
Ste A
Knightdale, NC 27545
Phone (919) 863-2020

505 Retail Way
Ste 118
Louisburg, NC 27549
Phone (919) 496-1156

3603 Davis Dr
Ste 100
Morrisville, NC 27560
Phone (919) 234-4888

6566 Glenwood Ave
Raleigh, NC 27612
Phone (919) 783-0011

13220 Strickland Rd
Ste 160
Raleigh, NC 27613
Phone (919) 870-6430

14460 Falls of Neuse Rd
Ste 125
Raleigh, NC 27614
Phone (919) 847-4665

2024 Cameron St
Raleigh, NC 27605
Phone (919) 862-2015

8231 Brier Creek Pkwy
Raleigh, NC 27617
Phone (919) 863-5032

7020 Six Forks Rd
Raleigh, NC 27615
Phone (919) 847-5957

110 Capcom Ave
Ste 100
Wake Forest, NC 27587
Phone (919) 554-3227

11724 Retail Dr
Wake Forest, NC 27587
Phone (919) 562-5559

178 Wakelon St
Zebulon, NC 27597
Phone (919) 269-6032

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1972943496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156430",
            "telephone_number": "919-863-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD MANETH",
        "first_name": "JAMIE",
        "middle_name": "BROOKE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.