Individual
JULIE ANNE MANRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7232 ENGLE RD, FORT WAYNE, IN 46804-2222
(260) 436-7205
(260) 432-1339
Mailing address
7232 ENGLE RD, FORT WAYNE, IN 46804-2222
(260) 436-7205
(260) 432-1339
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002938A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201068060
—
IN
Enumeration date
04/04/2006
Last updated
06/17/2016
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