Provider Demographics
NPI:1225682776
Name:MANNING EYE CARE LLC
Entity Type:Organization
Organization Name:MANNING EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FORREST
Authorized Official - Middle Name:WALKER
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:662-455-7840
Mailing Address - Street 1:PO BOX 952
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:MS
Mailing Address - Zip Code:38751-0952
Mailing Address - Country:US
Mailing Address - Phone:662-455-7840
Mailing Address - Fax:662-455-7841
Practice Address - Street 1:2202 HWY 82 WEST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930
Practice Address - Country:US
Practice Address - Phone:662-455-7840
Practice Address - Fax:662-455-7841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty