NPIMap

Organization Active NPI

Mann Eye Center, PA

  • Optometrist
  • Bay City, TX
National Provider Identifier
1609300680
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MANN EYE CENTER, PA
Practice address
3612 Avenue F
Bay City, TX 77414-7604
Phone
(979) 244-1440
Fax
(979) 244-3122
NPI assigned
Apr 17, 2017
Organization subpart
Yes
Parent organization
MANN EYE CENTER, PAAs reported in NPPES

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 Coordinator
Phone
(713) 275-2457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3612 Avenue F
Bay City, TX 77414-7604

Mailing address

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

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
Part of
Mann Eye Center

Other organizations with this tax ID 19

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

View all 19

Locations

429 W Southline St
Ste 200
Cleveland, TX 77327
Phone (281) 592-4343

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1609300680",
    "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": "3612 AVENUE F",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774147604",
            "telephone_number": "979-244-1440",
            "fax_number": "979-244-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANN EYE CENTER, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANN EYE CENTER, PA",
        "enumeration_date": "2017-04-17",
        "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 COORDINATOR",
        "authorized_official_telephone_number": "713-275-2457"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, 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.