Individual provider Active NPI

Jason Scott Mann, O.D.

  • Optometrist
  • Oakland Park, FL
National Provider Identifier
1205283157
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 5187 Issued in FL
Practice address
23 NE 44TH St
Oakland Park, FL 33334-1437
Phone
(954) 776-4262
Fax
(954) 776-4262
NPI assigned
May 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 5187 FL Primary

Addresses

Primary practice location

23 NE 44TH St
Oakland Park, FL 33334-1437

Mailing address

23 NE 44TH St
Oakland Park, FL 33334-1437
Phone (954) 776-4262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160831002802 FL Practitioner - Optometry 4789970674 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 5187FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Roberts Optical Center, Inc Optometrist CurrentSince May 20, 2016 Accepting new patients

Locations

23 NE 44th St
Oakland Park, FL 33334
Phone (954) 257-3370

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1205283157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NE 44TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341437",
            "telephone_number": "954-776-4262",
            "fax_number": "954-776-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NE 44TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341437",
            "telephone_number": "954-776-4262",
            "fax_number": "954-776-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.