Whalio Doctors

NPI 1003814500

John a Mannik, OD

Practitioner Optometrist South Haven, MI

Practice location

Address
1088 S Bailey Ave Suite B, South Haven, MI 49090-9728
Phone
(269) 637-1442
Fax
(269) 637-3801

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901003263 (MI)

Registry record

NPI
1003814500
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Jul 2005
Record last updated
19 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.