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RICHARD B MANGAN O.D.
NPI 1700863214
Optometrist in Louisville, KY

Active since December 27, 2005
1935 BLUEGRASS AVE, SUITE 200, LOUISVILLE, KY 40215(502) 364-0033(502) 361-4488 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard B Mangan O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD B MANGAN O.D. (NPI 1700863214) is an individual optometrist in Louisville, Kentucky, licensed in Kentucky (1403DT) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1700863214
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameRICHARD B MANGANCredential: O.D.
Location Address1935 BLUEGRASS AVE, SUITE 200Louisville, KY 40215-1179
Mailing Address1935 Bluegrass Ave, Suite 200Louisville, KY 40215-1179 · (502) 364-0033 · Fax (502) 361-4488
Phone(502) 364-0033
Fax(502) 361-4488
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateDecember 22, 2014
✔ NPI 1700863214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in KY · 1403DT✔ Licensed in IN · 18003024A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1935 BLUEGRASS AVE, Louisville, KY 40215
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Other Identifiers 9

Medicare UPINU80115
Medicare PINP00765026IN
Medicaid2246224OH
Medicaid77014033KY
Medicare PIN263670DIN
Medicare PINP00821292OH
Medicaid200313540IN
Medicare PIN331420003IN
Medicare PINK117932KY

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD WALTER BENNETT OD MD
Ophthalmology
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Jefferson County (502) 895-0040
LAWRENCE TENKMAN MD
Ophthalmology
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Jefferson County (502) 895-0040
DR. NIKOLAOS CHRISTOS ZAGORIANOS O.D.
Optometrist
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Jefferson County (502) 364-0033
DINA A ENGLISH MSSW, CSW
Social Worker (Clinical)
1935 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 589-1100
AUSTIN RAY LIFFERTH OD
Optometrist
1935 BLUEGRASS AVE, STE 200
LOUISVILLE, KY 40215
Jefferson County (502) 895-0040
STEVEN MARK BLOOM MD
Ophthalmology
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Jefferson County (502) 895-0040
THEODORE LUCKEY
Counselor (Addiction (Substance Use Disorder))
1935 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 366-0705
DR. FRASER DOUGLAS MCKAY O.D.
Optometrist
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Jefferson County (502) 364-0033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Mangan's NPI number?

The NPI number for Richard Mangan is 1700863214. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Richard Mangan located?

Richard Mangan practices at 1935 Bluegrass Ave Suite 200, Louisville, KY 40215. The listed phone number is (502) 364-0033.

What is Richard Mangan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Richard Mangan was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.