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DR. DAVID JUSTIN MANNING O.D.
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1972519783
Individual Registrant:DR. DAVID JUSTIN MANNING O.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1122 MAIN ST SUITE 12 VILONIA, AR 72173-9524 US
Tel: 501-796-8040 Fax: 501-796-3773
Tel: 501-796-8040 Fax: 501-796-3773
Contact information for business:
1122 MAIN ST SUITE 12 VILONIA, AR 72173-9524 US
Tel: 501-796-8040 Fax: 501-796-3773
Tel: 501-796-8040 Fax: 501-796-3773
Registration Information:
NPI: 1972519783
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | AR | 2576 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
