Individual
JUSTIN LEONARD MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9205 N UNION BLVD, SUITE 110, COLORADO SPRINGS, CO 80920-7830
(719) 282-0400
(719) 282-1004
Mailing address
9205 N UNION BLVD, SUITE 110, COLORADO SPRINGS, CO 80920-7830
(719) 282-0400
(719) 282-1004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00003278
CO
152W00000X
Optometrist
60378496
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164863734
—
WA
Enumeration date
07/11/2013
Last updated
08/02/2018
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