DR. MARK A MANARY O.D.
NPI 1972594224
Optometrist in Jefferson City, MO

Q: What is Mark Manary's NPI number?

The NPI number for Mark Manary is 1972594224. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Q: What is Mark Manary's specialty?

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

Q: Is Mark Manary enrolled in Medicare?

No. Mark Manary has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mark Manary was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 03, 2005Opted out of Medicare · through Apr 1, 2027

2421 W EDGEWOOD DR, STE A, JEFFERSON CITY, MO 65109(573) 636-2103 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark A Manary O.d. NPPES

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

DR. MARK A MANARY O.D. (NPI 1972594224) is an individual optometrist in Jefferson City, Missouri, licensed in Missouri (TO3364) and active in the NPI registry since November 2005. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1972594224

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARK A MANARYCredential: O.D.

Location Address2421 W EDGEWOOD DR, STE AJefferson City, MO 65109-5844

Mailing Address2421 W Edgewood Dr, Ste AJefferson City, MO 65109-5844 · (573) 636-2103

Phone(573) 636-2103

Sole ProprietorYes

Enumeration DateNovember 3, 2005

Last NPPES UpdateJanuary 30, 2013

✔ NPI 1972594224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · TO3364

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.

2421 W EDGEWOOD DR, Jefferson City, MO 65109

Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified000009371MO

Medicaid318903804MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mark A Manary O.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

MARC ALVIN FRANKE O.D.

Optometrist

2421 W EDGEWOOD DR, STE A
JEFFERSON CITY, MO 65109

Cole County (573) 808-3908

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 Mark Manary's NPI number?

The NPI number for Mark Manary is 1972594224. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Mark Manary located?

Mark Manary practices at 2421 W Edgewood Dr Ste A, Jefferson City, MO 65109. The listed phone number is (573) 636-2103.

What is Mark Manary's specialty?

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

Is Mark Manary enrolled in Medicare?

No. Mark Manary has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mark Manary was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.