Organization
OPHTHALMOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN C MANNIX M.D. (PRESIDENT OWNER)
(219) 362-6297
Entity
Organization
Contact information
Practice address
1300 STATE ST, STE. 1-F, LA PORTE, IN 46350-3185
(219) 362-6297
(219) 324-3061
Mailing address
1300 STATE ST, STE. 1F, LA PORTE, IN 46350-3185
(219) 362-6297
(219) 324-3061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
10/20/2006
Last updated
09/11/2025
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