Dr Al'tiana Manning, OD is a medicare enrolled "Optometrist" provider in Lake Success, New York. She went to Southern College Of Optometry and graduated in 2020 and has 6 years of diverse experience with area of expertise as Optometry. Her current practice location is
1979 Marcus Avenue Suite 206, Lake Success, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 243-8611.
Dr Al'tiana Manning is licensed to practice in Tennessee (license number 3609) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1821615873.
Healthcare Provider's Profile
| Full Name | Dr Al'tiana Manning |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 6 Years |
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| Location | 1979 Marcus Avenue Suite 206, Lake Success, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Al'tiana Manning attended and graduated from Southern College Of Optometry in 2020
NPI Data:
- NPI Number: 1821615873
- Provider Enumeration Date: 06/25/2020
- Last Update Date: 06/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092103408
- Enrollment ID: I20260608000567
Medical Identifiers
Medical identifiers for Dr Al'tiana Manning such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821615873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 4901005570 (Michigan) | Secondary |
| 152W00000X | Optometrist | 003213 (Connecticut) | Secondary |
| 152W00000X | Optometrist | TUV009456 (New York) | Secondary |
| 152W00000X | Optometrist | 1045 (New Hampshire) | Secondary |
| 152W00000X | Optometrist | 27OA00708500 (New Jersey) | Secondary |
| 152W00000X | Optometrist | OPT003489 (Georgia) | Secondary |
| 152W00000X | Optometrist | 3979-35 (Wisconsin) | Secondary |
| 152W00000X | Optometrist | 3609 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Al'tiana Manning is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Al'tiana Manning, OD
Po Box 3076,
West Memphis, AR 72303-3076
Ph: (912) 713-6015 | Dr Al'tiana Manning, OD
1979 Marcus Avenue Suite 206,
Lake Success, NY 11042
Ph: (516) 243-8611 |
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