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

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: July 26, 2026.

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
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

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.

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

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 with the weekly NPPES data releases published by CMS.