Organization Active NPI

Jennifer L Manning OD PA

  • Optometrist
  • Pinellas Park, FL
National Provider Identifier
1932477650
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4285 Issued in FL
Legal business name
JENNIFER L MANNING OD PA
Practice address
6633 80TH Ave N
Pinellas Park, FL 33781-2061
Phone
(813) 545-2367
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Jennifer Manning
Title
Optometrist
Phone
(813) 545-2367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4285 FL Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
003837400MedicaidFL

National Provider Directory

National Provider Directory

Locations

8001 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 568-0385

4710 N Habana Ave
Ste 100
Tampa, FL 33614
Phone (813) 237-3937

10751 Maple Creek Dr
Ste 104
Trinity, FL 34655
Phone (723) 375-8442

27607 State Road 56
Wesley Chapel, FL 33544
Phone (727) 375-8442

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1932477650",
    "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"
        },
        {
            "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": {
        "organization_name": "JENNIFER L MANNING OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "813-545-2367"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003837400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.