Organization
MICHAEL D. MANGAS, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DRACH MANGAS O.D. (PRESIDENT)
(812) 372-7782
Entity
Organization
Contact information
Practice address
2475 COTTAGE AVE, COLUMBUS, IN 47201-4476
(812) 372-7782
Mailing address
2475 COTTAGE AVE, COLUMBUS, IN 47201-4476
(812) 372-7782
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001786
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100051800A
—
IN
Enumeration date
12/14/2006
Last updated
09/22/2011
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