Individual
DR. WILLIAM SCOTT MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000201
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410049825
PALMETTO
VA
01
—
461364
ANTHEM
VA
05
—
9237208
—
VA
Enumeration date
06/02/2006
Last updated
03/07/2023
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