Organization Active NPI

Colette Manning OD PC

Doing business as Wedgwood Optometry Associates

  • Optometrist
  • Arlington, TX
National Provider Identifier
1659540961
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4511T Issued in TX
Legal business name
COLETTE MANNING OD PC
Doing business as
Wedgwood Optometry Associates
Practice address
6808 Potomac Pkwy
Arlington, TX 76017-4940
Phone
(817) 294-7456
Fax
(817) 294-5443
NPI assigned
Feb 21, 2008
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. Colette Manning, O.D.NPI 1568563906
Title
President
Phone
(817) 294-7456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6808 Potomac Pkwy
Arlington, TX 76017-4940

Mailing address

6808 Potomac Pkwy
Arlington, TX 76017-4940
Phone (817) 294-7456

Other names 1

  • Wedgwood Optometry Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000466 TX Part B Supplier - Clinic/Group Practice 2668555350 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1659540961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 POTOMAC PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174940",
            "telephone_number": "817-294-7456",
            "fax_number": "817-294-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 POTOMAC PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174940",
            "telephone_number": "817-294-7456",
            "fax_number": "817-294-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLETTE MANNING OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-294-7456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4511T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wedgwood Optometry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.