Organization
JAMES H. MANASCO, OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HUNTER MANASCO O.D. (PRESIDENT/OPTOMETRIST)
(205) 486-4321
Entity
Organization
Contact information
Practice address
1900 11TH AVE, SUITE B, HALEYVILLE, AL 35565-1552
(205) 486-4321
(205) 486-4341
Mailing address
1900 11TH AVE, SUITE B, HALEYVILLE, AL 35565-1552
(205) 486-4321
(205) 486-4341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S344TA053
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059371
—
AL
01
—
406540534
MEDICARE RAILROAD
—
01
—
51059371
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/01/2008
Last updated
05/02/2008
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