DR. AL'TIANA MANNING OD
NPI 1821615873
Optometrist in Lake Success, NY

Active since June 25, 2020PECOS Enrolled
1979 MARCUS AVENUE SUITE 206, LAKE SUCCESS, NY 11042(516) 243-8611 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2024, May 4, 2023, Apr 5, 2023 and 4 more (7 updates tracked since 2020).

About Dr. Al'tiana Manning Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AL'TIANA MANNING OD (NPI 1821615873) is an individual optometrist in Lake Success, New York, licensed in Tennessee (3609) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2020).

NPPES Registry Identity

NPI1821615873
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. AL'TIANA MANNINGCredential: OD
Location Address1979 MARCUS AVENUE SUITE 206Lake Success, NY 11042
Mailing AddressPo Box 3076West Memphis, AR 72303-3076 · (912) 713-6015
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2020
Enumeration DateJune 25, 2020
Last NPPES UpdateJune 3, 20247 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1821615873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in TN · 3609✔ Licensed in MI · 4901005570✔ Licensed in CT · 003213✔ Licensed in NY · TUV009456✔ Licensed in NH · 1045✔ Licensed in NJ · 27OA00708500✔ Licensed in GA · OPT003489✔ Licensed in WI · 3979-35
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1979 MARCUS AVENUE SUITE 206, Lake Success, NY 11042

Other Names 1

Other Name (5)Al'tiana Carter

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Al'tiana Manning Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092103408
PECOS Enrollment IDI20260608000567
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

21

Medicare enrollment records show Al'tiana Manning reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
950 3RD AVE FL 3
New York, NY 10022
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
Optometrist
18 GREENWICH AVE STE 1
Greenwich, CT 06830
  • Reassigned Medicare billing, Connecticut enrollment
  • 133 clinicians in this Medicare group
Eyewear Supplier
2100 DIXWELL AVE, SUITE 16
Hamden, CT 06514
  • Reassigned Medicare billing, Connecticut enrollment
  • 23 clinicians in this Medicare group
Optometrist
45 ASYLUM ST
Hartford, CT 06103
  • Reassigned Medicare billing, Connecticut enrollment
  • 27 clinicians in this Medicare group
Optometrist
903 HARTFORD TPKE UNIT 29
Waterford, CT 06385
  • Reassigned Medicare billing, Connecticut enrollment
  • 23 clinicians in this Medicare group
Optometrist
75 MAIN ST
Sidney, NY 13838
  • Reassigned Medicare billing, New York enrollment
  • 56 clinicians in this Medicare group
Optometrist
577 NASHUA ST
Milford, NH 03055
  • Reassigned Medicare billing, New Hampshire enrollment
  • 62 clinicians in this Medicare group
Optometrist
2921 ERIE BLVD E
Syracuse, NY 13224
  • Reassigned Medicare billing, New York enrollment
  • 243 clinicians in this Medicare group
Optometrist
3171 CHILI AVE, SUITE 100
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 28 clinicians in this Medicare group
Optometrist
3957 24TH AVE
Fort Gratiot, MI 48059
  • Reassigned Medicare billing, Michigan enrollment
  • 144 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Al'tiana Manning's NPI number?

The NPI number for Al'tiana Manning is 1821615873. It was assigned to this individual provider in the NPPES registry on June 25, 2020. The provider is also known as Al'tiana Carter.

Where is Al'tiana Manning located?

Al'tiana Manning practices at 1979 Marcus Avenue Suite 206, Lake Success, NY 11042. The listed phone number is (516) 243-8611.

What is Al'tiana Manning's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Al'tiana Manning enrolled in Medicare?

Yes. Al'tiana Manning is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Al'tiana Manning's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Al'tiana Manning reassigns Medicare benefits to 21 organizations: Vitreous Retina Macula Consultants Of New York (New York, NY), Myeyedr Optometry Of Connecticut, LLC (Greenwich, CT), Raffaele Inc (Hamden, CT), Apex Optometric Care PC (Hartford, CT), Waterford Optometric PC (Waterford, CT) and 16 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Al'tiana Manning's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Al'tiana Manning accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 16 other insurers list Al'tiana Manning as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Al'tiana Manning was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.