Individual provider Active NPI

Sandra Mann, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1235237017
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5420TG Issued in TX
Practice address
3607 Stoney Oak Dr
Houston, TX 77068
Phone
(281) 444-2442
Fax
(281) 444-2441
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 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 5420TG TX Primary

Addresses

Primary practice location

3607 Stoney Oak Dr
Houston, TX 77068

Mailing address

3607 Stoney Oak Dr
Houston, TX 77068
Phone (281) 444-2442

Other identifiers 1

IdentifierTypeStateIssuer
045511501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090414000099 TX Practitioner - Optometry 1658428420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew Mann Optometrist PAGroup PAC ID 0749337509, 2 clinicians

Practice addresses (Care Compare)

25248 Grogans Park Dr
The Woodlands, TX 77380-2175
Phone (281) 298-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5420TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Mann Optometrist PA Optometrist CurrentSince Apr 1, 1998 Accepting new patients
Andrew Mann Optometrist PA Optometrist PastSince Apr 1, 1998 Accepting new patients

Locations

2750 Eastex Fwy
Beaumont, TX 77703
Phone (409) 924-9994

1722 Nederland Ave
Nederland, TX 77627
Phone (409) 729-0999

25248 Grogans Park Dr
The Woodlands, TX 77380
Phone (281) 298-2020

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1235237017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 STONEY OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77068",
            "telephone_number": "281-444-2442",
            "fax_number": "281-444-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 STONEY OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77068",
            "telephone_number": "281-444-2442",
            "fax_number": "281-444-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5420TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045511501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.