DR. Joseph N Mangiardi, OPTOMETRIST
NPI #1649380221 in Machesney Park, Illinois
Provider Information
- NPI Number
- 1649380221
- Entity Type
- Individual
- Name
- DR. Joseph N Mangiardi, OPTOMETRIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OPTOMETRIST
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Apr 14, 2008
Practice Location
- Address
- 8530 N 2ND ST
- City
- Machesney Park
- State
- Illinois
- ZIP Code
- 61115-2414
- Phone
- (815) 654-7777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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