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Individual

DR. THOMAS EARL MANNING

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
401 E TICKLE ST, SUITE B, DYERSBURG, TN 38024-3163
(731) 285-5411
(731) 285-8481
Mailing address
401 E TICKLE ST, SUITE B, DYERSBURG, TN 38024-3163
(731) 285-5411
(731) 285-8481

Taxonomy

Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
TN1175
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150674
BETTER HEALTH
TN
01
3424938
CIGNA
TN
05
3722767
TN
01
4065026
BLUE CROSS BLUE SHIELD TN
TN
01
4914090001
MEDICARE DMERC
TN
Enumeration date
05/27/2006
Last updated
07/08/2007
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