Individual
DR. GREGORY V MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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
BCBS PIN
NE
01
—
2200006
UNITEDHEALTHCARE PIN
NE
05
—
47069546100
—
NE
01
—
CSO141
RR MEDICARE PIN
NE
01
—
GUS12D67
MUTUAL OF OMAHA PIN
NE
Enumeration date
09/04/2007
Last updated
05/22/2008
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