Organization Active NPI

Mann Eye Center, PA

  • Ophthalmology Physician
  • Georgetown, TX
National Provider Identifier
1487213872
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MANN EYE CENTER, PA
Practice address
1530 Sun City Blvd Ste 150
Georgetown, TX 78633-5353
Phone
(512) 327-4123
Fax
(713) 275-2496
NPI assigned
Jun 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Jill Rosales
Title
Credentialing
Phone
(713) 275-2457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1530 Sun City Blvd Ste 150
Georgetown, TX 78633-5353

Mailing address

PO Box 4346
Dept 368
Houston, TX 77210-4346
Phone (713) 275-2461

Other names 1

  • MANN EYE INSTITUTE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040106000372 TX Part B Supplier - Clinic/Group Practice 4082513379 Receives reassigned benefits from 50 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX; Humble, TX; Katy, TX; Liberty, TX; Livingston, TX; Pearland, TX; Spring, TX; Sugarland, TX…

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mann Eye Center20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

1530 Sun City Blvd
Ste 150
Georgetown, TX 78633
Phone (512) 327-4123

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1487213872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4346",
            "address_2": "DEPT 368",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "713-275-2461",
            "fax_number": "713-275-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 SUN CITY BLVD STE 150",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786335353",
            "telephone_number": "512-327-4123",
            "fax_number": "713-275-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANN EYE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "713-275-2457"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANN EYE INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MANN EYE INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.