Individual
DR. PAUL C MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3725 INGERSOLL AVE, DES MOINES, IA 50312-3410
(515) 255-5533
(515) 255-8002
Mailing address
3725 INGERSOLL AVE, DES MOINES, IA 50312-3410
(515) 255-5533
(515) 255-8002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01532
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047365
—
IA
01
—
28186
BLUE CROSS BLUE SHIELD
IA
01
—
42115239727
JOHN DEERE HEALTH
IA
01
—
72076
COVENTRY
IA
Enumeration date
02/13/2006
Last updated
07/08/2007
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