Individual provider Active NPI

Michael Steven Mann, OD

  • Optometrist
  • Davie, FL
National Provider Identifier
1811101496
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1427 Issued in FL
Practice address
6905 E Wedgewood Ave
Davie, FL 33331-2901
Phone
(954) 592-8970
Fax
(954) 747-8025
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1427 FL Primary

Addresses

Primary practice location

6905 E Wedgewood Ave
Davie, FL 33331-2901

Mailing address

6905 E Wedgewood Ave
6244 W. Oakland Park Blvd
Davie, FL 33331-2901
Phone (954) 746-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110720000467 FL Practitioner - Optometry 3870761778 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1427FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida, Inc CurrentSince Jan 16, 2019 Accepting new patients
Michael S Mann Optometrist Current Accepting new patients
New Vision Unlimited LLC Optometrist CurrentSince Nov 4, 2022 Accepting new patients
Legacy Vision PLLC Optometrist Current Accepting new patients
Community Health of South Florida Inc CurrentSince Jan 16, 2019 Accepting new patients
Waves in Silence Psychological Services, Inc. Past Accepting new patients
Living Well Alf Corp Past Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

13852 SW 88th St
Miami, FL 33186
Phone (305) 385-6885

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1811101496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 E WEDGEWOOD AVE",
            "address_2": "6244 W. OAKLAND PARK BLVD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312901",
            "telephone_number": "954-746-4009",
            "fax_number": "954-747-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 E WEDGEWOOD AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312901",
            "telephone_number": "954-592-8970",
            "fax_number": "954-747-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.