Individual
RICHARD B MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1935 BLUEGRASS AVE, SUITE 200, LOUISVILLE, KY 40215-1179
(502) 364-0033
(502) 361-4488
Mailing address
1935 BLUEGRASS AVE, SUITE 200, LOUISVILLE, KY 40215-1179
(502) 364-0033
(502) 361-4488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1403DT
KY
152W00000X
Optometrist
18003024A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200313540
—
IN
05
—
2246224
—
OH
05
—
77014033
—
KY
Enumeration date
12/27/2005
Last updated
12/22/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us