Richard B Mangan in Louisville - Optometrist

Richard B Mangan - NPI 1700863214

Richard B Mangan is a Optometrist in Louisville, Kentucky. Richard B Mangan practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Richard B Mangan is 1700863214. The last update date is 2014-12-22.

Richard B Mangan's current location address is 1935 Bluegrass Ave, Louisville, Kentucky. You can contact this provider via phone number 5023640033 and fax number 5023614488. The mailing address for Richard B Mangan is 1935 Bluegrass Ave, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard B Mangan
Address 1935 Bluegrass Ave, Louisville, Kentucky
Phone Number 5023640033
Fax Number 5023614488
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1700863214
Provider Enumeration Date 2005-12-27
Last Updated Date 2014-12-22

Provider Mailing Address Detail

Address 1935 Bluegrass Ave
City Louisville
State Kentucky (KY)
Post Code 402151179
Phone Number 5023640033
Fax Number 5023614488

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 18003024A
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
77014033 KY --
200313540 IN --
2246224 OH --

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FAQs about Richard B Mangan

What is the unique 10-digit identification code issued to Richard B Mangan by the Centers for Medicare & Medicaid Services?

The Richard B Mangan has been assigned the NPI (National Provider Identifier) 1700863214 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Richard B Mangan's facilities are geographically located?

The facilities of Richard B Mangan are physically situated at the following location: 1935 Bluegrass Ave, Louisville, KY, 402151179.

What is Richard B Mangan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richard B Mangan is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.

When did the Richard B Mangan receive its 1700863214?

The Richard B Mangan was issued its 1700863214 on 2005-12-27, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Richard B Mangan most recently updated or revised?

The details related to Richard B Mangan, including its address, specialty, and other relevant information, were last updated or revised on 2014-12-22.

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