Dr Daniel Leroy Mannen, OD | |
1864 Columbia Blvd, Saint Helens, OR 97051-1733 | |
(503) 397-2020 | |
(503) 397-7701 |
Full Name | Dr Daniel Leroy Mannen |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1864 Columbia Blvd, Saint Helens, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609831973 | NPI | - | NPPES |
127902 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OR 1494 ATI (Oregon) | Primary |
Provider Name | Family Vision Of Oregon Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952515918 PECOS PAC ID: 7517956386 Enrollment ID: O20040507000407 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Leroy Mannen, OD 1864 Columbia Blvd, Saint Helens, OR 97051-1733 Ph: (503) 397-2020 | Dr Daniel Leroy Mannen, OD 1864 Columbia Blvd, Saint Helens, OR 97051-1733 Ph: (503) 397-2020 |
Dr. Thomas A Chewerda, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1864 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-397-2020 Fax: 503-397-7701 | |
Jahaira Lassala, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-397-4911 | |
Dr. Sarah Chewerda, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1864 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-397-2020 Fax: 503-397-7701 | |
Dr. Laurel Gillette Mannen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1864 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-396-0928 Fax: 503-397-7701 | |
George W Curnutt Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2020 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-397-4911 Fax: 503-397-3986 | |
Dr. Brooks Rodman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 Columbia Blvd, Saint Helens, OR 97051 Phone: 503-397-4911 Fax: 503-397-3986 |