Provider Demographics
NPI:1063478485
Name:MANN, DEBORAH E (OD)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:E
Last Name:MANN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:E
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1320 CITY CENTER DR STE 150
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3104
Mailing Address - Country:US
Mailing Address - Phone:317-846-4223
Mailing Address - Fax:317-846-6063
Practice Address - Street 1:1320 CITY CENTER DR STE 150
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3104
Practice Address - Country:US
Practice Address - Phone:317-846-4223
Practice Address - Fax:317-846-6063
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003021A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200274990Medicaid
U80174Medicare UPIN