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General NPI Number Information
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NPI Number | 1790893451
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Entity Type | Organization
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Legal Business Name | MICHAEL A MCMANN M.D., LLC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 91-2139 FORT WEAVER RD SUITE 202
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City | EWA BEACH
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State | HI
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Zip | 96706-3608
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Country | US
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Telephone | 808-677-2733
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Fax | 808-441-7737
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Provider Business Mailing Address
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Address Line | 91-2139 FORT WEAVER RD SUITE 202
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City | EWA BEACH
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State | HI
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Zip | 96706-3607
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Country | US
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Telephone | 808-677-2733
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Fax | 808-441-7737
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Authorized Official
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Title or Position | MANAGER & OWNER
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Name | DR. MICHAEL ARTHUR MCMANN
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Credential | MD
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Telephone | 808-489-3154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD-10374
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License Number State | HI
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