Individual
CRAIG L MCMANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
901 E 86TH ST, INDIANAPOLIS, IN 46240-1807
(317) 844-5500
Mailing address
425 SOUTHMORE ST, PLAINFIELD, IN 46168-2049
(765) 414-5337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002231A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000562802
BLUE CROSS/BLUE SHIELD
IN
Enumeration date
12/27/2005
Last updated
03/22/2023
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