Organization · Type 2 NPI
Andrew F. Mansueto, O.d.
Eyewear Supplier · Dyer, IN
NPI number
1376712232
Active
Practice location
942 Richard Rd
Dyer, IN 46311-1936
Fax (219) 864-1780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 18002573 (IN) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Another provider at this address
About NPI 1376712232
Andrew F. Mansueto, O.d.'s National Provider Identifier is 1376712232, issued on Feb 25, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Dyer, IN. The record was last updated on Jun 15, 2008.