Individual
BARRY S MANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
309 HUNTINGDON PIKE, ROCKLEDGE, PA 19046-4447
(215) 663-9700
(215) 663-0363
Mailing address
309 HUNTINGDON PIKE, ROCKLEDGE, PA 19046-4447
(215) 663-9700
(215) 663-0363
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001326
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00549448
—
PA
01
—
580924280
MEDICARE RAILROAD
PA
Enumeration date
11/20/2006
Last updated
05/14/2009
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