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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

NPI # 1043452154
LBN Legal business name BRUCE L MANNING
Authorized official BRUCE MANNING - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2009
Last updated 05/09/2014 - About 12 years ago
Identifiers
OH License # 3551/T547
OH License # T547
OH Medicaid 0487567
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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