DAVID L. MANZO M.D. P.C. NPI 1336322783

NPI Information

NPI: 1336322783
Provider Name: DAVID L. MANZO, M.D., P.C.

Doing Business As: MANZO EYE CARE

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
621 W 11 MILE RD
ROYAL OAK, MI
ZIP 48067
Phone: (248) 541-4200
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DAVID L. MANZO, M.D., P.C. is an eyewear supplier in Royal Oak, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. DAVID L. MANZO, M.D., P.C. NPI is 1336322783. The provider is registered as an organization entity type.
The provider Is Doing Business As Manzo Eye Care.

The provider's business location address is:

621 W 11 MILE RD
ROYAL OAK, MI
ZIP 48067-201
Phone: (248) 541-4200
Fax: (248) 541-4969

The provider's authorized official is David L Manzo .
The authorized official title is President and has the following contact phone number (248) 541-4200.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 12/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0N12090	MEDICARE PIN	MICHIGAN
2	4113369	OTHER	MICHIGAN	AETNA
3	4229975 TYPE 10	MEDICAID	MICHIGAN
4	5453840001	MEDICARE NSC	MICHIGAN
5	F01746	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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