Andrew F. Mansueto, O.D.
Organization Active NPI Eyewear Supplier · Dyer, IN
NPI 1376712232 · NPPES record last updated Jun 15, 2008
Key facts
- NPI
- 1376712232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- 18002573 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew F Mansueto, O.D.
- Title
- Owner
- Phone
- (219) 864-1430
Practitioners 2
-
Jovan Alavanja, O.D.
National Provider Directory
Locations
942 Richard Rd
Dyer, IN 46311
Phone (219) 864-1430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 18002573 | IN | Yes |
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
Other providers in Dyer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.