Bruce L Manning

Primary specialty

OptometristTaxonomy code 152W00000X

License

3551/T547 Issued in OH

Legal business name

BRUCE L MANNING

Practice address

665 Briarthorn Crescent Dr
Wadsworth, OH 44281-7501

Phone

(330) 336-9177

Fax

(330) 335-3318

NPI assigned

Apr 3, 2009

Last updated

May 9, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bruce L ManningNPI 1861561136

Title

Owner

Phone

(330) 336-9177

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce L Manning, O.D.

  • Optometrist
  • Wadsworth, OH
  • NPI 1861561136
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1043452154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 BRIARTHORN CRESCENT DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442817501",
            "telephone_number": "330-336-9177",
            "fax_number": "330-335-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 BRIARTHORN CRESCENT DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442817501",
            "telephone_number": "330-336-9177",
            "fax_number": "330-335-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE L MANNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-336-9177"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "T547",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3551/T547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0487567",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Brigeman
• Mark Steven Brigham, DO
• Ramona Britenriker
• David Lawrence Brown, DHSC
• Kathryn Nicole Brown
• Jessica Marie Buccigrossi, LPN-M-IV
• Heidi Deann Buckingham-Summers, LPCC
• Brandon D Bupp, D.C.
• Kelly Marie Burkhart, LPN
• Regis P Burlas, D.O.

• Optometrist in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.