DR. JULIE A MARVIN-MANDERS (NPI# 1295782415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295782415 |
| Entity Type | Individual |
| Full Name | DR. JULIE A MARVIN-MANDERS |
| Credential | O.D. |
| Practice Address |
110 Riverside Dr Manchester MI 48158-9776 |
| Mailing Address |
9909 Hogan Rd Manchester MI 48158-8531 |
| Practice Telephone | 7344282020 |
| Practice Fax Number | 7344288955 |
| Mailing Telephone | 7344280255 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2008-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003224 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE PTAN, INDIVIDUAL | H16788001 | 01 |
| Street Address |
110 RIVERSIDE DR |
| City | MANCHESTER |
| State | MI |
| Zip Code | 48158-9776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003082447 | Manchester Eye Care Center, P.C. | Clinic/Center | 110 Riverside Dr, Manchester, MI 48158-9776 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003332651 | Jessica L Walz | Specialist/Technologist | 9235 Grossman Rd, Manchester, MI 48158 | 2017-08-16 |
| 1548464951 | Great Lakes Bay Health Centers | Clinic/Center | 4800 Esch Road, Manchester Migrant Camp, Manchester, MI 48158 | 2007-06-12 |
| 1952427841 | Bruce Alan Bates | Dentist | 500 Galloway Dr, Manchester, MI 48158 | 2007-03-22 |
| 1114083581 | Dana Ray Andrews | Chiropractor | 102 S. Clinton St., Suite 1, Manchester, MI 48158 | 2006-12-29 |
| 1538485602 | Aaron Larock | Dentist | 126 E. Main St, Apartment 2, Manchester, MI 48158 | 2010-04-14 |
| 1427114693 | Andrews Family Chiropractic Pllc | Chiropractor | 102 S. Clinton St., Suite 1, Manchester, MI 48158 | 2006-12-29 |
| 1396930533 | Margaret Anne Steeb | Dietitian, Registered | 216 N. Washington St, Unit # 3, Manchester, MI 48158-0504 | 2007-09-11 |
| 1720248016 | Gayle Anne Antonelli | Physician Assistant | 122 W Main St, Manchester, MI 48158-1002 | 2008-06-11 |
| 1679776264 | Evelyn Eccles, Md | Family Medicine | 122 W Main St, Box 570, Manchester, MI 48158-1002 | 2007-06-09 |
| 1366533689 | Evelyn Eccles | Family Medicine | 122 W Main St, Box 570, Manchester, MI 48158-1002 | 2006-09-28 |
| Find all providers in zip 48158 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750836649 | Amanda Bilunas | Optometrist | 238 Tolland Tpke, G, Manchester, CT 06042-1744 | 2016-08-20 |
| 1457737447 | Samantha Mein | Optometrist | 581 2nd St, Manchester, NH 03102-5200 | 2015-08-03 |
| 1083098156 | Stephanie Sturgis | Optometrist | 397b Broad Street, Manchester, CT 06040 | 2015-07-17 |
| 1568703387 | Nicholas Olberding | Optometrist | 225 W Main St # 308, Manchester, IA 52057-1533 | 2013-03-04 |
| 1356692214 | Complete Family Eyecare, LLC | Optometrist | 238g Tolland Tpke, Manchester, CT 06042-5706 | 2012-10-01 |
| 1154698702 | Preventative & Regenerative Eye Care, LLC | Optometrist | 1107 Brittany Parkway Dr, Manchester, MO 63011-4327 | 2011-11-28 |
| 1891075727 | Bhavika Mahesh Patidar | Optometrist | 232 Maple Springs Dr, Manchester, TN 37355-3764 | 2011-08-23 |
| 1083918692 | Contemporary Vision Center, LLC | Optometrist | 971 Brittany Parkway Drive, Manchester, MO 63011 | 2010-12-23 |
| 1932417870 | West County Eye Care LLC | Optometrist | 23 Stonegate Ctr, Manchester, MO 63088-1215 | 2010-09-14 |
| 1386957157 | Wei Zhu | Optometrist | 344 Buckland Hills Dr, Manchester, CT 06042-8700 | 2010-07-21 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 48158 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.