Active NPI
Legacy Vision PLLC
- Optometrist
- Pembroke Pines, FL
National Provider Identifier
1851244180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LEGACY VISION PLLC
- Practice address
- 2462 NW 193Rd Ave
Pembroke Pines, FL 33029-5314 - Phone
- (786) 302-0984
- NPI assigned
- Feb 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael S Mann, OD
- Title
- Owner
- Phone
- (954) 592-8970
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2462 NW 193Rd Ave
Pembroke Pines, FL 33029-5314
Mailing address
3350 SW 148TH Ave Ste 110
Miramar, FL 33027-3237
Phone (786) 302-0984
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Davie, FL
- NPI 1811101496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771286400000",
"number": "1851244180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 SW 148TH AVE STE 110",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273237",
"telephone_number": "786-302-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2462 NW 193RD AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330295314",
"telephone_number": "786-302-0984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY VISION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-17",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-592-8970",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.