Organization
MARK A. MANARY, O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MANARY O.D. (OWNER)
(573) 489-2499
Entity
Organization
Contact information
Practice address
415 CONLEY RD, COLUMBIA, MO 65201-6468
(573) 499-1945
Mailing address
3505 BRAY AVE, COLUMBIA, MO 65203-0794
(573) 489-2499
(573) 636-2103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3364
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318903838
—
MO
Enumeration date
10/06/2006
Last updated
11/04/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up