| Organization Name: | JOSEPH N MANGIARDI PC |
| NPI Number: | 1376717157 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH N. MANGIARDI (PRESIDENT) |
| Mailing Address: | 8530 N 2nd St Machesney Park |
| State: | IL US |
| Postal Code: | 611152414 |
| Phone Number: | 8156547777 |
| Fax Number: | 8156547902 |
| NPI Enumeration Date: | 04/14/2008 |
| NPI Last Update Date: | 09/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 1971-8624 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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. |