Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ryan Roger Manning, OD

Individual provider Optometrist · NPI 1720058977

Dr. Ryan Roger Manning, OD is an Optometry in Phoenix, Arizona. Graduated from Southern College of Optometry in 2005, 21 years ago. Practices with Salt River Pima-Maricopa Indian Community, a 42-clinician group and accepts Medicare assignment. Licensed in Arizona and Utah.

Years since qualifying
21
Trained at
Southern College of Optometry
Licensed in
AZ, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 59594209934 (UT)
Optometrist Taxonomy 152W00000X · Licence 1730 (AZ)

Record details

NPI number1720058977
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESMay 2, 2019
Mailing addressPo Box 31001-0698, Pasadena, CA 91110-0698

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2005 (21 years in practice)
Group practice Salt River Pima-Maricopa Indian Community — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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