MEDICARE: F. K. MANUEL, O.D.,P.L.L.C.

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	152W00000X	Optometrist	2401TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1922293463	OTHER	TX	CHANGE NAME ON CURRENT NPI

General Provider Information

NPI Number	:	1922293463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	F. K. MANUEL, O.D.,P.L.L.C.

Provider Business Mailing Address
First Line	:	2323 CLEAR LAKE CITY BLVD STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8040
Country	:	US
Telephone Number	:	281-480-1002
Fax Number	:	281-480-1048

Provider Business Practice Location Address
First Line	:	2323 CLEAR LAKE CITY BLVD STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8040
Country	:	US
Telephone Number	:	281-480-1002
Fax Number	:	281-480-1048

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANCIS KEITH MANUEL
Credential	:	OD
Telephone Number	:	281-480-1002

Provider Enumeration Date	:	09/07/2007
Last Update Date	:	07/31/2024

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