NPIMap

Organization Active NPI

Dr. Douglas L. Mann III PC

  • Optometrist
  • Decatur, AL
National Provider Identifier
1023286192
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S918-TA-501 Issued in AL
Legal business name
DR. DOUGLAS L. MANN III PC
Practice address
201 6TH Ave SE
Decatur, AL 35601-3115
Phone
(256) 351-0040
Fax
(256) 301-9449
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Ms. Sandy F. Seal
Title
Optician
Phone
(256) 351-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S918-TA-501 AL Primary

Addresses

Primary practice location

201 6TH Ave SE
Decatur, AL 35601-3115

Mailing address

201 6TH Ave SE
Decatur, AL 35601-3115
Phone (256) 351-0040

National Provider Directory

National Provider Directory

Locations

2208 Danville Rd SW
Decatur, AL 35601
Phone (256) 351-0040

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1023286192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 6TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013115",
            "telephone_number": "256-351-0040",
            "fax_number": "256-301-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 6TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013115",
            "telephone_number": "256-351-0040",
            "fax_number": "256-301-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DOUGLAS L. MANN III PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "SEAL",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "256-351-0040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S918-TA-501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.