Dr. John A Mannik
Optometrist
1088 S Bailey Ave Suite B
South Haven
, Michigan 49090-9728
Dr. John A Mannik
Optometrist
1088 S Bailey Ave Suite B
South Haven
, Michigan 49090-9728
(269) 637-3801
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. John A Mannik
- 1088 S Bailey Ave Suite B
- South Haven, MI
- Zip : 49090-9728
- Fax : (269) 637-3801
- Phone : (269) 637-1442
Second Address
- Dr. John A Mannik
- 1088 S Bailey Ave Suite B
- South Haven, MI
- Zip : 49090-9728
- Fax : (269) 637-3801
- Phone : (269) 637-1442
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003263 | MI |
National Provider Identifier
| NPI | 1003814500 |
|---|---|
| Provider Name | Dr. John A Mannik |
| First Address | South Haven, MI 49090-9728 |
| Second Address | South Haven, MI 49090-9728 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2005 |
| Last Update Date | 19/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3238512 | (05) | MI |
| U29925 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.