MEDICARE: MICHAEL A MCMANN M.D., LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD-10374	HI

General Provider Information

NPI Number	:	1790893451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL A MCMANN M.D., LLC

Provider Business Mailing Address
First Line	:	91-2139 FORT WEAVER RD
Second Line	:	SUITE 202
City	:	EWA BEACH
State	:	HI
Zip	:	96706-3607
Country	:	US
Telephone Number	:	808-677-2733
Fax Number	:	808-441-7737

Provider Business Practice Location Address
First Line	:	91-2139 FORT WEAVER RD
Second Line	:	SUITE 202
City	:	EWA BEACH
State	:	HI
Zip	:	96706-3608
Country	:	US
Telephone Number	:	808-677-2733
Fax Number	:	808-441-7737

Authorized Official
Title or Position	:	MANAGER & OWNER
Name	:	DR. MICHAEL ARTHUR MCMANN
Credential	:	MD
Telephone Number	:	808-489-3154

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	09/22/2025

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