Provider Demographics
NPI:1497807861
Name:MANION, BARBARA C (OD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:C
Last Name:MANION
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 POST RD W
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-4604
Mailing Address - Country:US
Mailing Address - Phone:203-226-9426
Mailing Address - Fax:203-226-6230
Practice Address - Street 1:212 POST RD W
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4604
Practice Address - Country:US
Practice Address - Phone:203-226-9426
Practice Address - Fax:203-226-6230
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2405152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT090002405CT01OtherBCBS OF CT.
CT020708224OtherCIGNA PPO
CT090002405CT01OtherBCBS OF CT.
CT410001099Medicare ID - Type Unspecified