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Contact Information

BRUCE L MANNING
665 BRIARTHORN CRESCENT DR
WADSWORTH, OH44281-7501
 Phone: 330-336-9177
 Fax: 330-335-3318
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BRUCE L MANNING · (Female)

NPI # 1043452154
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2009
Last updated 05/09/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 3551/T547
  • OH License # T547
  • OH Medicaid 0487567
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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