Individual provider Active NPI

Joseph T Manning, O.D.

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1073547352
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TN0873 Issued in TN
Practice address
11124 Kingston Pike
Suite 127
Knoxville, TN 37934
Phone
(865) 966-2020
Fax
(865) 966-7332
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TN0873 TN Primary

Addresses

Primary practice location

11124 Kingston Pike
Suite 127
Knoxville, TN 37934

Mailing address

11124 Kingston Pike
Suite 127
Knoxville, TN 37934
Phone (865) 966-2020

Other identifiers 1

IdentifierTypeStateIssuer
3595911MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150507001103 TN Practitioner - Optometry 3678588142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hermitage Eye Care, PLLCGroup PAC ID 0446576359, 48 clinicians

Practice addresses (Care Compare)

11124 Kingston Pike
Suite 127
Knoxville, TN 37934-2855
Phone (865) 966-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TN0873TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hermitage Eye Care PLLC Optometrist CurrentSince Jul 4, 2023 Accepting new patients
The Eye Group, P. C. Optometrist CurrentSince Nov 1, 1993 Accepting new patients
Hermitage Eye Care PLLC Optometrist PastSince Feb 23, 2025 Accepting new patients

Locations

782 Old Hickory Blvd
Ste 204
Brentwood, TN 37027
Phone (615) 373-9992

11124 Kingston Pike
Ste 127
Knoxville, TN 37934
Phone (865) 966-2020

7220 Chapman Hwy
Ste 108
Knoxville, TN 37920
Phone (865) 577-4492

7220 Chapman Hwy
Knoxville, TN 37920
Phone (865) 579-4895

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1073547352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 KINGSTON PIKE",
            "address_2": "SUITE 127",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934",
            "telephone_number": "865-966-2020",
            "fax_number": "865-966-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 KINGSTON PIKE",
            "address_2": "SUITE 127",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934",
            "telephone_number": "865-966-2020",
            "fax_number": "865-966-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN0873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3595911",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.