Provider Demographics
NPI:1568547529
Name:MANCHESTER VISION ASSOCIATES, INC
Entity Type:Organization
Organization Name:MANCHESTER VISION ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BIER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:636-394-9900
Mailing Address - Street 1:14037 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4513
Mailing Address - Country:US
Mailing Address - Phone:636-394-9900
Mailing Address - Fax:636-394-9236
Practice Address - Street 1:14037 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63011-4513
Practice Address - Country:US
Practice Address - Phone:636-394-9900
Practice Address - Fax:636-394-9236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMOTO2568152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOT42740Medicare UPIN