Provider Demographics
NPI:1093950149
Name:MANN EYE CENTER, PA
Entity Type:Organization
Organization Name:MANN EYE CENTER, PA
Other - Org Name:MANN EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MANN
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:281-446-7900
Mailing Address - Street 1:15999 CITY WALK
Mailing Address - Street 2:SUITE #270
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6605
Mailing Address - Country:US
Mailing Address - Phone:713-580-2525
Mailing Address - Fax:281-265-1377
Practice Address - Street 1:15999 CITY WALK
Practice Address - Street 2:SUITE #270
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6605
Practice Address - Country:US
Practice Address - Phone:713-580-2525
Practice Address - Fax:281-265-1377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00308VOtherMEDICARE ID
TX158554902Medicaid