# DR. JOSEPH THOMAS MANDO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477997591
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35.133827 | OH | — |
| 207W00000X | Ophthalmology Physician | 51523 | KY | — |
| 207W00000X | Ophthalmology Physician | MD212048 | OR | Yes |
| 207W00000X | Ophthalmology Physician | R2663 | TX | — |
| 207W00000X | Ophthalmology Physician | R3264 | KY | — |
| 207W00000X | Ophthalmology Physician | TP588 | KY | — |

## Other

- **Enumeration date:** 04/19/2013
- **Last updated:** 06/07/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0283968 | — | OH |
| 05 | — | 7100371840 | — | KY |
| 01 | — | H588290 | MEDICARE | OH |
| 01 | — | H588291 | MEDICARE OH | OH |
| 01 | — | H588292 | MEDICARE OH | OH |
| 01 | — | K242730 | MEDICARE | KY |
| 01 | — | K242731 | MEDICARE | KY |
| 01 | — | K242732 | MEDICARE KY | KY |