Active NPI
Jennifer L Manning OD PA
- Optometrist
- Pinellas Park, FL
National Provider Identifier
1932477650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4285
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003837400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- St Petersburg, FL
- NPI 1003818915
-
- Optometrist
- St Petersburg, FL
- NPI 1437258944
-
- Optometrist
- St Petersburg, FL
- NPI 1821527276
-
- Optometrist
- St Petersburg, FL
- NPI 1780104273
-
- Optometrist
- St Petersburg, FL
- NPI 1609215557
-
- Optometrist
- Fairview Park, OH
- NPI 1407464209
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.