Organization
MANERA TOTAL VISION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX NICHOLAS MANERA O.D. (OPTOMETRIST/PRESIDENT)
(618) 627-8868
Entity
Organization
Contact information
Practice address
815 LINCOLN HIGHWAY, SUITE #104, FAIRVIEW HEIGHTS, IL 62208
(618) 628-8868
(618) 628-3508
Mailing address
P.O. BOX 3264, FAIRVIEW HEIGHTS, IL 62208
(618) 628-8868
(618) 628-3508
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008585
IL
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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