Bruce L Manning

LBN: Bruce L Manning
Bruce L Manning is an health care organization with primary practice located at 665 Briarthorn Crescent Dr , Wadsworth OH 44281-7501. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Bruce L Manning can be contacted via phone (330) 336-9177, or through Manning, Bruce L via phone (330) 336-9177.

Contact Information

Primary practice address
665 Briarthorn Crescent Dr Wadsworth OH 44281-7501
Fax: (330) 335-3318
Website:
Authorized official contact:
Name: Manning, Bruce L

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3551/T547 Ohio
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X T547 Ohio

Profile Details

NPI number 1043452154
LBN Legal business name Bruce L Manning
DBA Doing business as
Authorized official Manning, Bruce L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2009
Last updated May 9th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043452154 NPPES
Ohio MEDICAID 0487567

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