Organization Name: | BRUCE L MANNING |
NPI Number: | 1043452154 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE L MANNING (OWNER) |
Mailing Address: | 665 Briarthorn Crescent Dr Wadsworth |
State: | OH US |
Postal Code: | 442817501 |
Phone Number: | 3303369177 |
Fax Number: | 3303353318 |
NPI Enumeration Date: | 04/03/2009 |
NPI Last Update Date: | 05/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | T547 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |