Organization
RAYMOND G. MANS, OD PC
Active
Other names
FLORENCE REEDSPORT EYE CLINICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND GENE MANS OD (PRESIDENT)
(541) 997-3331
Entity
Organization
Contact information
Practice address
535 9TH ST, FLORENCE, OR 97439
(541) 997-3331
(541) 997-9439
Mailing address
PO BOX 277, FLORENCE, OR 97439-0010
(541) 997-3331
(541) 997-9439
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1206ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139325
PTAN
OR
01
—
410027916
PALMETTO GBA
OR
01
—
R0000WCYBX
MEDICARE
OR
01
—
R00WCYBXA
MEDICARE
OR
01
—
R00WCYBXB
MEDICARE
OR
01
—
R00WCYBXC
MEDICARE
OR
Enumeration date
01/11/2007
Last updated
10/08/2009
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