Chandler Robert Mann II, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9800TG Issued in TX

Practice address

20079 Stone Oak Pkwy Ste 1104
San Antonio, TX 78258-6943

Phone

(830) 205-2420

Fax

(830) 205-8122

NPI assigned

Jul 2, 2019

Last updated

Jun 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2019

Medicare assignment

May accept Medicare assignment

Group practices

CLM Eyecare PLLCGroup PAC ID 2668854357, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CLM Eyecare PLLC

  dba Stone Oak Vision Source

  • Optometrist
  • San Antonio, TX
  • NPI 1932843943
  Medicare reassignment Care Compare group NPD Authorized official
• MJW Eyecare Associates, P.a.

  dba Coyote Optical

  • Optometrist
  • Uvalde, TX
  • NPI 1881925196
  Medicare reassignment NPD
• Clear Lake Eye Center LLP

  dba Berkeley Eye Center Clear Lake

  • Optometrist
  • Houston, TX
  • NPI 1255338612
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1447812284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586943",
            "telephone_number": "830-205-2420",
            "fax_number": "830-205-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586943",
            "telephone_number": "830-205-2420",
            "fax_number": "830-205-8122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17450 St Lukes Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773848045",
            "country_code": "US",
            "telephone_number": "281-363-3443",
            "fax_number": "936-271-1351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 Frostwood Dr Ste 256",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242418",
            "country_code": "US",
            "telephone_number": "713-935-9485",
            "fax_number": "713-935-0326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "CHANDLER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9800TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9800T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chandler.mann@direct.berkeleyeye.com",
            "affiliation": "Y",
            "affiliationName": "Berkeley Eye Institute, PA",
            "address_1": "902 Frostwood Dr Ste 256",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770242418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Blankenship Mankus, M.D.
• Jennifer Manley, RBT
• Justin Manley, CCP
• Margaret Marie Mann Zeballos, MD
• Brenna Breann Mann, PHARM.D.
• Chirel Marie Mann
• Dora A Mann, OTA
• Dustin Michael Mann, CPHT
• Greta Mills Mann, NURSE PRACTITIONER
• Guneet Jawanda Mann, MD

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.