Individual provider Active NPI

Jenna Marie Manning, OD

  • Optometrist
  • Denver, CO
National Provider Identifier
1326154766
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2079 Issued in CO
Practice address
2480 South Downing St
Suite 100
Denver, CO 80210
Phone
(303) 777-5455
Fax
(303) 777-1175
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2079 CO Primary

Addresses

Primary practice location

2480 South Downing St
Suite 100
Denver, CO 80210

Mailing address

2480 South Downing St
Suite 100
Denver, CO 80210
Phone (303) 777-5455

Other identifiers 1

IdentifierTypeStateIssuer
13235346MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120731000840 CO Practitioner - Optometry 5092971341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas P. Larkin M.D., P.C.Group PAC ID 3173412459, 2 clinicians

Practice addresses (Care Compare)

2480 S Downing St
Suite 100
Denver, CO 80210-5843
Phone (303) 777-5455

Merit-based Incentive Payment System (MIPS)

Final score
93.36 of 100Reported as group
Quality
98.48
Improvement activities
40
Cost
79.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2079COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas P. Larkin M.D., P.C. Optometrist CurrentSince Jan 9, 2012 Accepting new patients

Locations

2480 S Downing St
Ste 100
Denver, CO 80210
Phone (303) 777-5455

Interoperability endpoints

  • Direct secure messaging: jenna.manning.p1@direct.eyecarecolorado.nextgenshare.com

Organizations & group practices 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326154766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 SOUTH DOWNING ST",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80210",
            "telephone_number": "303-777-5455",
            "fax_number": "303-777-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 SOUTH DOWNING ST",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80210",
            "telephone_number": "303-777-5455",
            "fax_number": "303-777-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13235346",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.