Individual provider Active NPI

Andrew Lawrence John Mann, OD

  • Optometrist
  • The Woodlands, TX
National Provider Identifier
1336246933
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4932TC Issued in TX
Practice address
25248 Grogans Park Dr
The Woodlands, TX 77380
Phone
(281) 298-2020
Fax
(281) 258-2072
NPI assigned
Sep 19, 2006
Last updated
Feb 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 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 4932TC TX Primary

Addresses

Primary practice location

25248 Grogans Park Dr
The Woodlands, TX 77380

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
I20090414000112 TX Practitioner - Optometry 9830246602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1993
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
4932TCTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Mann Optometrist PA Optometrist CurrentSince May 20, 1996 Accepting new patients
Andrew Mann Optometrist PA Optometrist PastSince Apr 15, 1998 Accepting new patients

Locations

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, 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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1336246933",
    "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": "25248 GROGANS PARK DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-298-2020",
            "fax_number": "281-258-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "ANDREW",
        "middle_name": "LAWRENCE JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4932TC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045511501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.