Individual
JAMES HUNTER MANASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1900 11TH AVE, SUITE B, HALEYVILLE, AL 35565-1552
(205) 486-4321
(205) 486-4341
Mailing address
1900 11TH AVE, SUITE B, HALEYVILLE, AL 35565-1552
(205) 486-4321
(205) 486-4341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S344TA053
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059371
—
AL
01
—
406540534
MEDICARE TRAVELERS
AL
01
—
510-59371
BLUE CROSS BLUE SHIELD
AL
01
—
924418
BLOCK VISION
AL
Enumeration date
02/03/2006
Last updated
02/19/2013
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