Provider Demographics
NPI:1619150984
Name:EYE CARE ASSOCIATES OF MANHATTAN, P.A.
Entity Type:Organization
Organization Name:EYE CARE ASSOCIATES OF MANHATTAN, P.A.
Other - Org Name:MATTHEW T. STANLEY, O.D., P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:T
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:785-776-9461
Mailing Address - Street 1:1640 CHARLES PL STE 103
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2868
Mailing Address - Country:US
Mailing Address - Phone:785-776-9461
Mailing Address - Fax:785-776-9946
Practice Address - Street 1:1640 CHARLES PL STE 103
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2868
Practice Address - Country:US
Practice Address - Phone:785-776-9461
Practice Address - Fax:785-776-9946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1757152W00000X, 152WC0802X
KS1776152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200568820AMedicaid
KS6153480002Medicare NSC
KS200568820AMedicaid