Individual provider Active NPI

John Frederic Mann, O.D.

  • Optometrist
  • Pasadena, TX
National Provider Identifier
1508830597
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3420TG Issued in TX
Practice address
825 Southmore Ave Ste 821
Pasadena, TX 77502-1111
Phone
(713) 473-2020
Fax
(713) 472-8862
NPI assigned
Feb 15, 2006
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3420TG TX Primary

Addresses

Primary practice location

825 Southmore Ave Ste 821
Pasadena, TX 77502-1111

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

1250 Uvalde Rd
Houston, TX 77015-3708
Phone (713) 453-2972

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
I20131026000070 TX Practitioner - Optometry 2264667377 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3420TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 22, 2021 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 22, 2021 Accepting new patients
Willowbrook Tso PC Optometrist PastSince Apr 9, 2014 Accepting new patients
Northline Tso PC Optometrist Past Accepting new patients
Med Southwest, PLLC Optometrist PastSince Nov 21, 2021 Accepting new patients
Tomball Texas State Optical PA Optometrist PastSince Aug 1, 2016 Accepting new patients
PNZ Place Tso PC Optometrist Past Accepting new patients

Locations

1616 Clear Lake City Blvd
Ste 103
Houston, TX 77062
Phone (281) 286-4343

365 Greens Rd
Houston, TX 77060
Phone (281) 875-6800

4850 Main St
Houston, TX 77002
Phone (713) 523-5109

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

805 Walker St
Houston, TX 77002
Phone (713) 654-0042

9950 Katy Fwy
Ste A
Houston, TX 77055
Phone (713) 334-2020

3405 Spencer Hwy
Pasadena, TX 77504
Phone (713) 946-9300

825 Southmore Ave
Ste 821
Pasadena, TX 77502
Phone (713) 473-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1508830597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SOUTHMORE AVE STE 821",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021111",
            "telephone_number": "713-473-2020",
            "fax_number": "713-472-8862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Uvalde Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770153708",
            "country_code": "US",
            "telephone_number": "713-453-2972",
            "fax_number": "713-450-3609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "JOHN",
        "middle_name": "FREDERIC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3420TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.