Organization
ANDREW F. MANSUETO, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW F MANSUETO O.D. (OWNER)
(219) 864-1430
Entity
Organization
Contact information
Practice address
942 RICHARD RD, DYER, IN 46311-1936
(219) 864-1430
(219) 864-1780
Mailing address
942 RICHARD RD, P.O. BOX 367, DYER, IN 46311-1936
(219) 864-1430
(219) 864-1780
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
18002573
IN
Other
Enumeration date
02/25/2008
Last updated
06/15/2008
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