Provider Demographics
NPI:1861661852
Name:MANHATTAN EYE CARE LLC
Entity Type:Organization
Organization Name:MANHATTAN EYE CARE LLC
Other - Org Name:OBERHELMAN & HAKE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:OBERHELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:785-537-2420
Mailing Address - Street 1:1331 POYNTZ AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-4362
Mailing Address - Country:US
Mailing Address - Phone:785-537-2420
Mailing Address - Fax:
Practice Address - Street 1:1331 POYNTZ AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-4362
Practice Address - Country:US
Practice Address - Phone:785-537-2420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0272110001Medicare NSC