Individual
DR. JOSEPH THOMAS MANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 S GARDEN WAY STE 250, EUGENE, OR 97401-8175
(541) 343-5000
Mailing address
360 S GARDEN WAY STE 250, EUGENE, OR 97401-8175
(541) 343-5000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35.133827
OH
207W00000X
Ophthalmology Physician
51523
KY
207W00000X
Ophthalmology Physician
Primary
MD212048
OR
207W00000X
Ophthalmology Physician
R2663
TX
207W00000X
Ophthalmology Physician
R3264
KY
207W00000X
Ophthalmology Physician
TP588
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283968
—
OH
05
—
7100371840
—
KY
01
—
H588290
MEDICARE
OH
01
—
H588291
MEDICARE OH
OH
01
—
H588292
MEDICARE OH
OH
01
—
K242730
MEDICARE
KY
01
—
K242731
MEDICARE
KY
01
—
K242732
MEDICARE KY
KY
Enumeration date
04/19/2013
Last updated
06/07/2024
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