Individual
DR. BRIAN G MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
909 HARTFORD TPKE, UNIT D2, WATERFORD, CT 06385-4267
(860) 442-0380
(860) 442-0831
Mailing address
909 HARTFORD TPKE, UNIT D2, WATERFORD, CT 06385-4267
(860) 442-0380
(860) 442-0831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2229
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090002229CT02
ANTHEM
CT
01
—
0V2114
HEALTH NET
CT
01
—
564723
CONNECTICARE
CT
01
—
8744282
AETNA
CT
01
—
P462855
OXFORD
CT
Enumeration date
09/25/2006
Last updated
12/17/2008
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