Active NPI
Manning the Teleoptometric Service, P.C.
- Optometrist
- Peachtree Corners, GA
National Provider Identifier
1487498093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MANNING THE TELEOPTOMETRIC SERVICE, P.C.
- Practice address
- 2 Sun CT Ste 400
Peachtree Corners, GA 30092-2865 - Phone
- (877) 506-0002
- NPI assigned
- Jun 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Feliciano
- Title
- Credentialing Manager
- Phone
- (513) 586-2863
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2 Sun CT Ste 400
Peachtree Corners, GA 30092-2865
Mailing address
1979 Marcus Ave Ste 206
New Hyde Park, NY 11042-1002
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1487498093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1979 MARCUS AVE STE 206",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SUN CT STE 400",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922865",
"telephone_number": "877-506-0002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANNING THE TELEOPTOMETRIC SERVICE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-20",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "FELICIANO",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "513-586-2863"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.