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Contact Information

ANDREW F. MANSUETO, O.D.
942 RICHARD RD
DYER, IN46311-1936
 Phone: 219-864-1430
 Fax: 219-864-1780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ANDREW F. MANSUETO, O.D.

NPI Number 1376712232
LBN Legal business name ANDREW F. MANSUETO, O.D.
Authorized official ANDREW MANSUETO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2008
Last updated 06/15/2008 - About 18 years ago
Identifiers
IN License # 18002573
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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