Individual provider Active NPI

Martin Joseph Baumohl, O.D.

  • Optometrist
  • Spring, TX
National Provider Identifier
1629071865
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4949TG Issued in TX
Practice address
2616 FM 2920 Rd
Ste. I
Spring, TX 77388-3589
Phone
(281) 353-8300
Fax
(281) 353-7694
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4949TG TX Primary

Addresses

Primary practice location

2616 FM 2920 Rd
Ste. I
Spring, TX 77388-3589

Mailing address

2616 FM 2920 Rd
Ste. I
Spring, TX 77388-3589
Phone (281) 353-8300

Other identifiers 1

IdentifierTypeStateIssuer
103015703MedicaidTX

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
I20070827000829 TX Practitioner - Optometry 7214029859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

2616 FM 2920 Rd I
Spring, TX 77388-3590
Phone (281) 353-8300

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
89.41
Promoting interoperability
88
Improvement activities
40
Cost
77.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4949TXMDChiropractor
4949TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center Optometrist CurrentSince Mar 7, 2014 Accepting new patients
Mann Eye Center, PA Optometrist CurrentSince Mar 7, 2014 Accepting new patients
Mann Eye Center, PA Optometrist Current Accepting new patients
Mann Eye Center, PA Past Accepting new patients
Berkeley Eye Institute, PLLC Optometrist Past Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

1204 N Travis St
Liberty, TX 77575
Phone (936) 336-2100

2616 FM 2920 Rd
Ste I
Spring, TX 77388
Phone (281) 353-8300

2616 FM 2920 Rd
Ste 1
Spring, TX 77388
Phone (281) 353-8300

17450 St Lukes Way
Ste 100
The Woodlands, TX 77384
Phone (281) 363-3443

1501 Lake Robbins Dr
Ste 130
The Woodlands, TX 77380

Interoperability endpoints

  • Direct secure messaging: mbaumohl@manneye.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1629071865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 FM 2920 RD",
            "address_2": "STE. I",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883589",
            "telephone_number": "281-353-8300",
            "fax_number": "281-353-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 FM 2920 RD",
            "address_2": "STE. I",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883589",
            "telephone_number": "281-353-8300",
            "fax_number": "281-353-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMOHL",
        "first_name": "MARTIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4949TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103015703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.