Individual provider Active NPI

Manjeet Kaur Mann, O.D.

  • Optometrist
  • Palo Alto, CA
National Provider Identifier
1063585990
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12666 Issued in CA
Practice address
725 University Ave
A
Palo Alto, CA 94301-2129
Phone
(650) 329-1600
NPI assigned
Nov 16, 2006
Last updated
Dec 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12666 CA Primary

Addresses

Primary practice location

725 University Ave
A
Palo Alto, CA 94301-2129

Mailing address

2816 Vernon Way
San Ramon, CA 94582-5776
Phone (925) 325-9141

Other names 1

  • Dr. Manjeet Kaur Uppal Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000645 CA Practitioner - Optometry 0143297101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

303 Twin Dolphin Dr
Suite 122
Redwood City, CA 94065-1417
Phone (650) 551-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12666CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Optometric Care of Northern California PC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Mar 10, 2021 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Mar 10, 2021 Accepting new patients
First Optometric Care of Northern California PC Optometrist Past Accepting new patients

Locations

725 University Ave
#A
Palo Alto, CA 94301
Phone (650) 329-1600

303 Twin Dolphin Dr
Ste 122
Redwood City, CA 94065
Phone (650) 551-9111

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

5777 Greenback Ln
Ste 100
Sacramento, CA 95841
Phone (916) 231-0034

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1063585990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 VERNON WAY",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825776",
            "telephone_number": "925-325-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY AVE",
            "address_2": "A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012129",
            "telephone_number": "650-329-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MANJEET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANJEET",
            "last_name": "UPPAL",
            "middle_name": "KAUR",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.