ANDREW MANGUM (NPI# 1992147094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992147094 |
| Entity Type | Individual |
| Full Name | ANDREW MANGUM |
| Credential | O.D. |
| Practice Address |
128 Carl St Apt 1 San Francisco CA 94117-3923 |
| Practice Telephone | 6199819814 |
| Mailing Telephone | 6199819814 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG002845 | PA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417165770 | Andrew Barton Mangum | Anesthesiology | 701 6th St S, St Petersburg, FL 33701-4814 | 2007-05-18 |
| Street Address |
128 CARL ST APT 1 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003441882 | Opt Optometric PC | Optometrist | 1415 Valencia St, San Francisco, CA 94110-3716 | 2020-03-11 |
| 1881238145 | Anisha Pradhan | Optometrist | 1188 Mission St, San Francisco, CA 94103-1586 | 2019-10-30 |
| 1215586706 | Adam Glover | Optometrist | 458 27th Ave Apt 4, San Francisco, CA 94121-1858 | 2019-09-06 |
| 1154809358 | Melissa Tawa | Optometrist | 4150 Clement St # 112-a, San Francisco, CA 94121-1563 | 2018-07-31 |
| 1093291452 | Sophia Wong | Optometrist | 3032 Clement St, San Francisco, CA 94121-1889 | 2018-07-18 |
| 1750806196 | Tammy Huang | Optometrist | 1752 Fillmore St, San Francisco, CA 94115-3130 | 2017-08-07 |
| 1497206270 | Peggy Zhu | Optometrist | 438 Holyoke St, San Francisco, CA 94134-1735 | 2016-10-17 |
| 1598214173 | See Saw Seen Optometry | Optometrist | 515 Gough Street, San Francisco, CA 94102 | 2016-09-24 |
| 1659724318 | Monica Chernoguz | Optometrist | 1833 Fillmore St Ste 100, San Francisco, CA 94115-3181 | 2016-07-18 |
| 1346626454 | Yana Tsiganenko | Optometrist | 728 Shrader St, San Francisco, CA 94117-2722 | 2015-07-31 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.