Individual
DR. BECKY C MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
29 W MAIN ST, CHRISTIANSBURG, VA 24073-2941
(540) 381-2020
(540) 382-2660
Mailing address
29 W MAIN ST, CHRISTIANSBURG, VA 24073-2941
(540) 381-2020
(540) 382-2660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000181
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410012808
PALMETTO GBA
VA
01
—
466478
ANTHEM
VA
01
—
4721480001
ADMINISTAR FEDERAL
VA
05
—
9202552
—
VA
Enumeration date
07/25/2006
Last updated
03/14/2018
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