Active NPI
Surbjeet Kaur Mann, O.D.
- Optometrist
- Fresno, CA
National Provider Identifier
1689708448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13090T
- Practice address
- 5478 N Palm Ave
Fresno, CA 93704-1940 - Phone
- (559) 447-4990
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13090T | CA | Primary |
Addresses
Primary practice location
5478 N Palm Ave
Fresno, CA 93704-1940
Mailing address
6920 W Robinwood LN
Fresno, CA 93723-4005
Phone (559) 274-8007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150706000294 | CA | Order and Referring Only - Optometry | 5193868107 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13090 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Saul Mendelsohn Optometrist a Professional Corp | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- surbjeet.mann.1@17661.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Optometrist
- Fresno, CA
- NPI 1841464658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262649600000",
"number": "1689708448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6920 W ROBINWOOD LN",
"city": "FRESNO",
"state": "CA",
"postal_code": "937234005",
"telephone_number": "559-274-8007",
"fax_number": "559-447-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5478 N PALM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041940",
"telephone_number": "559-447-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "SURBJEET",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2010-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13090T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.