Individual provider Active NPI

Forrest Walker Manning, O.D.

  • Optometrist
  • Greenwood, MS
National Provider Identifier
1205382017
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
951 Issued in MS
Practice address
2202 Highway 82 W
Greenwood, MS 38930
Phone
(662) 455-7840
Fax
(662) 455-7841
NPI assigned
Aug 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 951 MS Primary
Optometrist 152W00000X S-D66-TA-A65 AL

Addresses

Primary practice location

2202 Highway 82 W
Greenwood, MS 38930

Mailing address

PO Box 952
Indianola, MS 38751-0952
Phone (662) 455-7840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20180727000366 MS Practitioner - Optometry 4688942444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellipanni Eye Clinic, PLLCGroup PAC ID 1153594304, 3 clinicians

Practice addresses (Care Compare)

104 S Martin Luther King Jr Dr
Indianola, MS 38751-2366
Phone (662) 887-3120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-D66-TA-A65ALMDOptometrist
951MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellipanni Eye Clinic, PLLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Optical 2000 of Flora PA Optometrist Past Accepting new patients

Locations

206 Church St
Belzoni, MS 39038
Phone (601) 247-4532

104 S Martin Luther King Jr Dr
Indianola, MS 38751
Phone (662) 887-3120

104 S Martin Luther King Jr Dr
#J
Indianola, MS 38751
Phone (662) 836-7950

803 E Fifteenth St
Yazoo City, MS 39194

110 N Jerry Clower Blvd
Ste H
Yazoo City, MS 39194
Phone (662) 746-1623

Organizations & group practices 2

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1205382017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387510952",
            "telephone_number": "662-455-7840",
            "fax_number": "662-455-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 HIGHWAY 82 W",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "38930",
            "telephone_number": "662-455-7840",
            "fax_number": "662-455-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "FORREST",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "951",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D66-TA-A65",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.