DR. MINI JOHN (O.D.) – Optometrist, NPI 1215902200

DR. MINI JOHN (O.D.) is a healthcare provider. based in Manvel, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 06184TG (TX). The NPI Number for DR. MINI JOHN (O.D.) is 1215902200

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MINI JOHN (O.D.)
NPI
1215902200
Phone
(281) 300-2109
Address
3102 LONGHORN CIRCLE
Enumeration Date
22 February 2006
Last Update Date
26 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814167077
Graduation Year
2001 (25 years ago)
PAC ID
5496949182
Professional Enrollment ID
I20101026001452
Address ID
TX774895114MI2755XPKWY302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

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Provider Addresses for DR. MINI JOHN (O.D.)

  • 3102 LONGHORN CIRCLE

    MANVEL, TX 77578

    Phone: (281) 300-2109

    Type: Mailing

  • Texas Parkway, Missouri City, Fort Bend County, Texas, 77489, United States

    MISSOURI CITY, TX 774895114

    Phone: (281) 416-7077

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $227.

Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.

Last reported payment date: 2023-06-07 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($227).

Total Amount

$227

General + Research + Ownership

Payments

2

Total payment records

General Amount

$227

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101026001452IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77578)

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Reviews

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Frequently asked questions

How is DR. MINI JOHN (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MINI JOHN (O.D.) with NPI 1215902200.
Does CMS list DR. MINI JOHN (O.D.) as active?
Yes — DR. MINI JOHN (O.D.) is active in the NPI listing used on this page.
What healthcare role does DR. MINI JOHN (O.D.) hold?
Scheduling teams often label DR. MINI JOHN (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. MINI JOHN (O.D.) serve?
DR. MINI JOHN (O.D.)'s listing highlights Manvel, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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