Individual
DR. MARILYN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
270A00445400
NJ
152W00000X
Optometrist
OPC1998
FL
152W00000X
Optometrist
Primary
VUT004435-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P674678
OXFORD
—
Enumeration date
02/08/2006
Last updated
03/08/2010
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