| Organization Name: | JEFFREY A MANN |
| NPI Number: | 1376721977 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY A MANN (OWNER) |
| Mailing Address: | 33 Lincoln St Newton Highlands |
| State: | MA US |
| Postal Code: | 024611526 |
| Phone Number: | 6173322664 |
| Fax Number: | 6173321218 |
| NPI Enumeration Date: | 02/06/2008 |
| NPI Last Update Date: | 03/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | MA 1546 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |