Mcmanis, David L

Mcmanis, David L is an sole proprietor health care provider with primary practice located at 4007 E 53Rd St Eyecare Max, Davenport IA 52807-3059. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcmanis, David L can be contacted via phone (563) 355-4554.

Contact Information

Primary practice address
4007 E 53Rd St Eyecare Max Davenport IA 52807-3059
Fax: (563) 355-4975
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X IA1667 Iowa

Profile Details

NPI number 1710965629
LBN Legal business name Mcmanis, David L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2006
Last updated Apr 18th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710965629 NPPES
Iowa Other 410026190 RAILROAD MEDICARE
Iowa MEDICAID 1168617 RAILROAD MEDICARE

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