Organization
MANN & MANN OPTOMETRISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY V MANN OD (PRESIDENT)
(402) 335-2022
Entity
Organization
Contact information
Practice address
131 N 3RD ST, TECUMSEH, NE 68450-2491
(402) 335-2022
(402) 335-3168
Mailing address
PO BOX 99, TECUMSEH, NE 68450-0099
(402) 335-2022
(402) 335-3168
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
921
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06766
BLUE CROSS/BLUE SHEILD
NE
01
—
2200006
UNITED HEALTH CARE
—
01
—
CS0141
RAILROAD MEDICARE PIN
NE
01
—
GUSI2D67
MUTUAL OF OMAHA
—
Enumeration date
09/12/2005
Last updated
01/03/2012
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