NPIMap

Organization Active NPI

Sunrise Vista LLC

  • Optician
  • Bay City, TX
National Provider Identifier
1851825830
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
D7443 Issued in TX
Legal business name
SUNRISE VISTA LLC
Practice address
3612 Avenue F
Bay City, TX 77414-7604
Phone
(979) 244-1440
Fax
(979) 244-3122
NPI assigned
Apr 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Dr. Paul M Mann Sr., MD
Title
Owner
Phone
(281) 446-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X D7443 TX Primary

Addresses

Primary practice location

3612 Avenue F
Bay City, TX 77414-7604

Mailing address

PO Box 4615
MSC 275
Houston, TX 77210-4615
Phone (713) 275-2457

Other names 1

  • Mann Eye 2 Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Vista LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1851825830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4615",
            "address_2": "MSC 275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104615",
            "telephone_number": "713-275-2457",
            "fax_number": "713-275-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 AVENUE F",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774147604",
            "telephone_number": "979-244-1440",
            "fax_number": "979-244-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE VISTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-446-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "D7443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mann Eye 2 Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.