DAVID LUIGI MANZO (NPI# 1386648103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386648103 |
| Entity Type | Individual |
| Full Name | DAVID LUIGI MANZO |
| Credential | M.D. |
| Practice Address |
621 W 11 Mile Rd Royal Oak MI 48067-2201 |
| Practice Telephone | 2485414200 |
| Practice Fax Number | 2485414969 |
| Mailing Telephone | 2485414200 |
| Mailing Fax Number | 2485414969 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2011-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | DM048656 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4229975 TYPE 10 | 05 | |
| MI | AETNA | 4113369 | 01 |
| Street Address |
621 W 11 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689024333 | Gincy George | Optometrist | 621 W 11 Mile Rd, Royal Oak, MI 48067-2201 | 2016-06-14 |
| 1215197587 | Kathryn Anne Baruch | Optometrist | 621 W 11 Mile Rd, Royal Oak, MI 48067-2201 | 2008-06-11 |
| 1972779072 | David L Manzo Md PC | Clinic/Center | 621 W 11 Mile Rd, Royal Oak, MI 48067-2201 | 2008-05-08 |
| 1336322783 | David L. Manzo, M.d., P.C. | Eyewear Supplier (Equipment, not the service) | 621 W 11 Mile Rd, Royal Oak, MI 48067-2201 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588092456 | Lawrence Talbot | Ophthalmology | 2917 Vinsetta Blvd, Royal Oak, MI 48073-3379 | 2013-10-31 |
| 1356505010 | Himanshu Aggarwal | Ophthalmology | 814 Mclean Ave, Royal Oak, MI 48067-3430 | 2008-07-11 |
| 1770741381 | Joshua Robinson | Ophthalmology | 3535 W 13 Mile Rd # 344, Royal Oak, MI 48073-6770 | 2008-05-30 |
| 1598785313 | Edward M. Cohn | Ophthalmology | 3535 W. 13 Mile, Ste 506, Royal Oak, MI 48073-6704 | 2006-07-21 |
| 1588604458 | Tamer H Mahmoud | Ophthalmology | 3555 W 13 Mile Rd # Ll-20, Royal Oak, MI 48073-6710 | 2006-06-07 |
| 1407832884 | Lisa Jane Faia | Ophthalmology | 3555 W 13 Mile Rd, Ll-20, Royal Oak, MI 48073-6710 | 2005-12-19 |
| 1023091469 | Robert J Mcdonald | Ophthalmology | 32000 Woodward Ave, Royal Oak, MI 48073-0998 | 2005-11-21 |
| 1154944437 | Safa Arfeen | Ophthalmology | 3601 W 13 Mile Rd Ofc, Royal Oak, MI 48073-6712 | 2020-05-21 |
| 1679195283 | Truman Louis Silvasi | Ophthalmology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-05-18 |
| 1346862760 | Xing Dong Chen | Ophthalmology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-05-07 |
| Find all providers in ROYAL OAK | ||||
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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.