Organization Active NPI

Andrew Mann Optometrist PA

  • Optometrist
  • The Woodlands, TX
National Provider Identifier
1871733451
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ANDREW MANN OPTOMETRIST PA
Practice address
25248 Grogans Park Dr
The Woodlands, TX 77380
Phone
(281) 298-2020
Fax
(281) 298-2494
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Sandra Mann, ODNPI 1235237017
Title
Officier
Phone
(832) 275-4438

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

25248 Grogans Park Dr
The Woodlands, TX 77380

Mailing address

3607 Stoney Oak Dr
Houston, TX 77068-2175
Phone (281) 298-2020

Other identifiers 1

IdentifierTypeStateIssuer
019127201MedicaidTX

Other names 1

  • Visionmann Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090414000080 TX Part B Supplier - Clinic/Group Practice 0749337509 Receives reassigned benefits from 2 practitioners
Practice locations: Beaumont, TX; Nederland, TX; The Woodlands, TX

National Provider Directory

National Provider Directory
Tax ID family
Andrew Mann Optometrist PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2750 Eastex Fwy
Beaumont, TX 77703
Phone (409) 924-9994

25248 Grogans Park Dr
The Woodlands, TX 77380
Phone (281) 298-2020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1871733451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 STONEY OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770682175",
            "telephone_number": "281-298-2020",
            "fax_number": "281-298-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25248 GROGANS PARK DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-298-2020",
            "fax_number": "281-298-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW MANN OPTOMETRIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OFFICIER",
        "authorized_official_telephone_number": "832-275-4438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019127201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionmann",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.