Organization Active NPI

Mann Eye Center, PA

  • Clinic/Center
  • Cleveland, TX
National Provider Identifier
1710990858
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MANN EYE CENTER, PA
Doing business as
Mann Eye Institute
Practice address
429 W Southline St
200
Cleveland, TX 77327-5000
Phone
(713) 275-2457
Fax
(713) 275-2466
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

429 W Southline St
200
Cleveland, TX 77327-5000

Mailing address

PO Box 659506
Dept 2181
San Antinio, TX 78265-9506
Phone (713) 275-2461

Other identifiers 1

IdentifierTypeStateIssuer
158554908MedicaidTX

Other names 1

  • Mann Eye Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1710990858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659506",
            "address_2": "DEPT 2181",
            "city": "SAN ANTINIO",
            "state": "TX",
            "postal_code": "782659506",
            "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": "429 W SOUTHLINE ST",
            "address_2": "200",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773275000",
            "telephone_number": "713-275-2457",
            "fax_number": "713-275-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANN EYE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158554908",
            "state": "TX"
        }
    ],
    "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 Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.