Active NPI
Shanna Mary Manalel, OD
- Optometrist
- Sugar Land, TX
National Provider Identifier
1114626249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10808
- Practice address
- 5243 Fountainbrook LN
Sugar Land, TX 77479-4835 - Phone
- (281) 896-3338
- NPI assigned
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10808 | TX | Primary |
Addresses
Primary practice location
5243 Fountainbrook LN
Sugar Land, TX 77479-4835
Mailing address
5243 Fountainbrook LN
Sugar Land, TX 77479-4835
Phone (281) 896-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10808 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1114626249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5243 FOUNTAINBROOK LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794835",
"telephone_number": "281-896-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5243 FOUNTAINBROOK LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794835",
"telephone_number": "281-896-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANALEL",
"first_name": "SHANNA",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "10808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.