Individual provider Active NPI

Michael Garrett Mann, OD

  • Optometrist
  • Oakland Park, FL
National Provider Identifier
1235796137
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5664 Issued in FL
Practice address
23 NE 44TH St
Oakland Park, FL 33334-1437
Phone
(954) 257-3370
NPI assigned
May 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5664 FL Primary

Addresses

Primary practice location

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

Mailing address

12767 NW 15TH St
Coral Springs, FL 33071-5438
Phone (954) 257-3370

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
I20191101001286 FL Practitioner - Optometry 5890027346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greg Pientka, O.D., P.a.Group PAC ID 5092848960, 2 clinicians

Practice addresses (Care Compare)

640 W Boynton Beach Blvd
Boynton Beach, FL 33426-3637
Phone (561) 732-8088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5664FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Pientka, O.D., P.a. Optometrist CurrentSince Mar 6, 2026 Accepting new patients

Locations

640 W Boynton Beach Blvd
Boynton Beach, FL 33426
Phone (561) 732-8008

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": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1235796137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12767 NW 15TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715438",
            "telephone_number": "954-257-3370"
        },
        {
            "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": "954-257-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MICHAEL",
        "middle_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-26",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.