Individual
DR. RAYMOND GENE MANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
535 9TH STREET, FLORENCE, OR 97439
(541) 997-3331
(541) 997-9439
Mailing address
PO BOX 277, FLORENCE, OR 97439-0010
(541) 997-3331
(541) 997-9439
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1206AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233007
—
OR
01
—
R00WCYBXC
MEDICARE
OR
Enumeration date
01/04/2006
Last updated
04/08/2008
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