Kevin Shibu Manakkunnel

Primary specialty

OptometristTaxonomy code 152W00000X

License

3184 Issued in MD

Practice address

7721 Tuckerman LN
Potomac, MD 20854-3266

Phone

(301) 983-5884

NPI assigned

Oct 14, 2026

Last updated

Oct 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1013813484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 TUCKERMAN LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543266",
            "telephone_number": "301-983-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAKKUNNEL",
        "first_name": "KEVIN",
        "middle_name": "SHIBU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "3184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Ann Magnotta, OTR/L
• Carol Eileen Maio
• Danielle Lynn Maizel, MA, LCPC, LPC, RPT
• Marie Makandjo
• Nicole Scheffres Malament, MSW, LCSW-C
• Manor Care of Potomac MD LLC (ProMedica Skilled Nursing and Rehabilitation (Potomac))
• Maria Jose Rendon PH.D. LLC (Potomac CBT Center)
• Mario O Belledonne PA
• Kenny Markle
• Gerald Marti, MD, PHD

• Optometrist in Potomac, MD
• Providers in Potomac, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.