Provider Demographics
NPI:1356323984
Name:MANUEL, FRANCIS KEITH (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:KEITH
Last Name:MANUEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 CLEAR LAKE CITY BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-8040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:281-480-1048
Practice Address - Street 1:2323 CLEAR LAKE CITY BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-8120
Practice Address - Country:US
Practice Address - Phone:281-480-1002
Practice Address - Fax:281-480-1048
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2401TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPO0149519Medicare PIN
TX8B3627Medicare PIN
TX00E55GMedicare PIN
TX80321EMedicare UPIN