Individual provider Active NPI

Colette Manning, OD

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1568563906
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4511TG Issued in TX
Practice address
5329 Sycamore School Rd Ste 113
Fort Worth, TX 76123-3036
Phone
(817) 489-5065
Fax
(817) 294-5443
NPI assigned
Sep 26, 2006
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4511TG TX Primary

Addresses

Primary practice location

5329 Sycamore School Rd Ste 113
Fort Worth, TX 76123-3036

Mailing address

5329 Sycamore School Rd Ste 113
Fort Worth, TX 76123-3036
Phone (817) 489-5065

Other names 1

  • Ms. Colette Mathias Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080219000463 TX Practitioner - Optometry 5395828081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Worth Eye Center PLLCGroup PAC ID 1850705195, 2 clinicians

Practice addresses (Care Compare)

5329 Sycamore School Rd
Suite 113
Fort Worth, TX 76123-3036
Phone (817) 489-5065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4511TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Colette Manning OD PC Optometrist CurrentSince Mar 25, 1998 Accepting new patients
Fort Worth Eye Center PLLC Optometrist CurrentSince Apr 2, 2025 Accepting new patients

Locations

5329 Sycamore School Rd
Ste 113
Fort Worth, TX 76123
Phone (817) 489-5065

6404 McCart Ave
Ft Worth, TX 76133
Phone (817) 294-7456

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1568563906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5329 SYCAMORE SCHOOL RD STE 113",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761233036",
            "telephone_number": "817-489-5065",
            "fax_number": "817-294-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 SYCAMORE SCHOOL RD STE 113",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761233036",
            "telephone_number": "817-489-5065",
            "fax_number": "817-294-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "COLETTE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4511TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLETTE",
            "last_name": "MATHIAS",
            "prefix": "MS.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.