NPIMap

Organization Active NPI

Andrew F. Mansueto, O.D.

  • Eyewear Supplier
  • Dyer, IN
National Provider Identifier
1376712232
Registry record updated Jun 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
18002573 Issued in IN
Legal business name
ANDREW F. MANSUETO, O.D.
Practice address
942 Richard Rd
Dyer, IN 46311-1936
Phone
(219) 864-1430
Fax
(219) 864-1780
NPI assigned
Feb 25, 2008
Last updated
Jun 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2008

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

Authorized official

Name
Dr. Andrew F Mansueto, O.D.NPI 1568442275
Title
Owner
Phone
(219) 864-1430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 18002573 IN Primary

Addresses

Primary practice location

942 Richard Rd
Dyer, IN 46311-1936

Mailing address

942 Richard Rd
P.O. Box 367
Dyer, IN 46311-1936
Phone (219) 864-1430

National Provider Directory

National Provider Directory

Locations

942 Richard Rd
Dyer, IN 46311
Phone (219) 864-1430

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213488000000",
    "number": "1376712232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 RICHARD RD",
            "address_2": "P.O. BOX 367",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111936",
            "telephone_number": "219-864-1430",
            "fax_number": "219-864-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 RICHARD RD",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111936",
            "telephone_number": "219-864-1430",
            "fax_number": "219-864-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW F. MANSUETO, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-06-15",
        "status": "A",
        "authorized_official_last_name": "MANSUETO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-864-1430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "18002573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2008; 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.