Jennifer L Manning, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4285 Issued in FL

Practice address

6633 80TH Ave N
Pinellas Park, FL 33781-2061

Phone

(813) 545-2367

NPI assigned

Dec 28, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• National Vision, Inc.

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)
• Vip Eye Care and Eye Wear Inc

  • Optometrist
  • Saint Petersburg, FL
  • NPI 1336575554
  NPD (past)
• Visionworks, Inc.

  • Optometrist
  • Independence, MO
  • NPI 1649203308
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1356328629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 80TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812061",
            "telephone_number": "813-545-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 80TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812061",
            "telephone_number": "813-545-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Annlee Piper Maloney, LMHC
• Dat Dultien Mang, DMD
• Dzung Duc-Tien Mang, M.D.
• Gagandeep Singh Mangat, M.D.
• Amber Lynne Mangum, RBT
• Scott Rasheed Manningham, MS
• Anja O Mansco, LMT, NCBTMB
• Allie Mansour
• Cody Manzo
• Chad J Maola, D.C.

• Optometrist in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.