Individual provider Active NPI

Gregory V Mann, O.D.

  • Optometrist
  • Tecumseh, NE
National Provider Identifier
1790979672
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
921 Issued in NE
Practice address
131 N 3Rd St
Tecumseh, NE 68450-2491
Phone
(402) 335-2022
Fax
(402) 335-3168
NPI assigned
Sep 4, 2007
Last updated
May 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 921 NE Primary

Addresses

Primary practice location

131 N 3Rd St
Tecumseh, NE 68450-2491

Mailing address

PO Box 99
Tecumseh, NE 68450-0099
Phone (402) 335-2022

Other identifiers 5

IdentifierTypeStateIssuer
47069546100MedicaidNE
CSO141OtherNERR MEDICARE PIN
2200006OtherNEUNITEDHEALTHCARE PIN
06766OtherNEBCBS PIN
GUS12D67OtherNEMUTUAL OF OMAHA PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20080516000272 NE Practitioner - Optometry 4688743677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 N 3Rd St
Tecumseh, NE 68450-2491
Phone (402) 335-2022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mann & Mann Optometrists PC Optometrist CurrentSince Apr 1, 1987 Accepting new patients

Locations

512 Bell St
Beatrice, NE 68310
Phone (402) 228-1012

Organizations & group practices 2

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1790979672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684500099",
            "telephone_number": "402-335-2022",
            "fax_number": "402-335-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N 3RD ST",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684502491",
            "telephone_number": "402-335-2022",
            "fax_number": "402-335-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "GREGORY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47069546100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "CSO141",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE PIN",
            "identifier": "2200006",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "06766",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA  PIN",
            "identifier": "GUS12D67",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, NE

Sources for this page

Verify at the official NPI Registry.