Michael H Manning Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME99008 Issued in FL

Practice address

1515 9TH Ave N
St Petersburg, FL 33705-1224

Phone

(727) 895-2020

Fax

(727) 823-8796

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of South Florida College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suncoast Eye Center PAGroup PAC ID 4789777087, 6 clinicians

Pinellas Eye Care PAGroup PAC ID 3577743996, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmanning@gulfcoasteye.intellechartdirect.net

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.

• Pinellas Eye Care PA

  • Ophthalmology Physician
  • St Petersburg, FL
  • NPI 1306165493
  Medicare reassignment Care Compare group NPD Authorized official
• Suncoast Eye Center PA

  • Ophthalmology Physician
  • Hudson, FL
  • NPI 1487643631
  Medicare reassignment Care Compare group NPD
• James P. Powers D.O., P.a.

  • Ophthalmology Physician
  • New Port Richey, FL
  • NPI 1376596551
  Medicare reassignment NPD
• Pinellas Eye Care PA

  • Ophthalmology Physician
  • Pinellas Park, FL
  • NPI 1912387374
  NPD Authorized official
• Suncoast Eye Center PA

  • Ambulatory Surgical Clinic/Center
  • Hudson, FL
  • NPI 1568556488
  NPD
• The Dietitians Group of West Florida, Inc.

  • Registered Dietitian
  • Palm Harbor, FL
  • NPI 1295161040
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1093733271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051224",
            "telephone_number": "727-895-2020",
            "fax_number": "727-823-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051224",
            "telephone_number": "727-895-2020",
            "fax_number": "727-823-8796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Tampa Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843144",
            "country_code": "US",
            "telephone_number": "727-785-4419",
            "fax_number": "727-789-3351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6036 Park Blvd N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337813228",
            "country_code": "US",
            "telephone_number": "727-549-2105",
            "fax_number": "727-768-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNING",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "27267",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME99008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20428800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP",
            "identifier": "1093733271",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmanning@gulfcoasteye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1515 9th Ave N",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337051224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Baldeep Singh Mann, MD
• Beatriz Elena Mann, PH.D.
• Mark A. Mann, R.PH., AAHIVP
• Matthew Mann, DAOM, AP
• Brian Mannari, D.M.D., M.S.
• Ahmed Mansour
• Ana Cristina Mantilla, DPM
• Gigi Michelle Manuel, ARNP/FNP
• Manus Praserthdam,M.D.,P.a
• Christine Ann Manzella, O.D., M.P.H.

• Ophthalmology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.