JANSON A MANCHESKI (OD) – Optometrist, NPI 1780768333

JANSON A MANCHESKI (OD) is a healthcare provider. based in Shawano, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. WI1750 (WI). The NPI Number for JANSON A MANCHESKI (OD) is 1780768333

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
JANSON A MANCHESKI (OD)
NPI
1780768333
Phone
(715) 526-2376
Address
1244 E GREEN BAY ST
Enumeration Date
24 October 2006
Last Update Date
5 November 2009

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7155262376
Graduation Year
1980 (46 years ago)
PAC ID
6305947730
Professional Enrollment ID
I20070728000263
Address ID
WI541662208SH1244XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

798 OPTOMETRY in WI

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Provider Addresses for JANSON A MANCHESKI (OD)

  • Walmart Supercenter, 1244, East Green Bay Street, Shawano, Shawano County, Wisconsin, 54166, United States

    JANSON MANCHESKI OD

    SHAWANO, WI 541662208

    Phone: (715) 526-2376

    Fax: (715) 526-9561

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070728000263IOptometryWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54166)

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Reviews

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Frequently asked questions

Is there an official ID for JANSON A MANCHESKI (OD) in U.S. healthcare records?
The official identifier for JANSON A MANCHESKI (OD) is NPI 1780768333.
Would JANSON A MANCHESKI (OD) appear as active to a payer?
You can treat JANSON A MANCHESKI (OD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JANSON A MANCHESKI (OD)'s focus?
For JANSON A MANCHESKI (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with JANSON A MANCHESKI (OD)?
Directory geography for JANSON A MANCHESKI (OD) centers on Shawano, Wisconsin.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.