NPI 1235526567 · live from the CMS NPI Registry
Jonathan Manhard, M.D.
Ophthalmology in South Burlington, VT. National Provider Identifier 1235526567, active.
NPI record
| NPI | 1235526567 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1100 Hinesburg Rd Ste 201, South Burlington, VT 05403 |
| Practice phone | 802-862-1808 |
| Mailing address | 1906 Belleview Ave Se, Roanoke, VA 24014 |
| Enumerated | April 24, 2015 |
| Last updated | August 21, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Ophthalmology primary | 207W00000X | 042.0014302 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.