Healthcare Provider Details

I. General information

NPI: 1801915129
Provider Name (Legal Business Name): ARMANAE AMANDA MANCHA O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9815 E BELL RD STE 105
SCOTTSDALE AZ
85260-2342
US

IV. Provider business mailing address

9815 E BELL RD STE 105
SCOTTSDALE AZ
85260-2342
US

V. Phone/Fax

Practice location:
  • Phone: 480-419-3900
  • Fax: 480-419-3943
Mailing address:
  • Phone: 480-419-3900
  • Fax: 480-419-3943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1913
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: