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Organization

MANCHESTER FAMILY VISION CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY L BROWN OD (PRESIDENT)
(563) 927-3682
Entity
Organization

Contact information

Practice address
1214 W MAIN ST, MANCHESTER, IA 52057-2305
(563) 927-3682
(563) 927-6397
Mailing address
PO BOX 217, MANCHESTER, IA 52057-0217
(563) 927-3682
(563) 927-6397

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0796755
IA
Enumeration date
01/25/2006
Last updated
10/14/2011
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