Organization
GARY S. MANNHEIMER, O.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MANNHEIMER O.D. (OWNER, MEMBER)
(804) 524-0200
Entity
Organization
Contact information
Practice address
798 SOUTHPARK BLVD, STE. 24, COLONIAL HEIGHTS, VA 23834-3615
(804) 524-0200
(804) 524-0400
Mailing address
798 SOUTHPARK BLVD, STE. 24, COLONIAL HEIGHTS, VA 23834-3615
(804) 524-0200
(804) 524-0400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000629
VA
Other
Enumeration date
01/20/2007
Last updated
07/22/2008
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