Active NPI
Seth Aaron Salley, O.D.
- Optometrist
- Memphis, TN
National Provider Identifier
1003113606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0D0000002943
- Practice address
- 618 Oakleaf Office LN Ste 100
Memphis, TN 38117-4820 - Phone
- (901) 821-8337
- Fax
- (901) 379-8297
- NPI assigned
- Feb 16, 2011
- Last updated
- Feb 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0D0000002943 | TN | Primary |
Addresses
Primary practice location
618 Oakleaf Office LN Ste 100
Memphis, TN 38117-4820
Mailing address
618 Oakleaf Office LN Ste 100
Memphis, TN 38117-4820
Phone (901) 821-8337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04989221 | Medicaid | MS | |
| Q010698 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
618 Oakleaf Office LN
Suite 100
Memphis, TN 38117-4820
Phone (901) 821-8337
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2943 | TN | MD | Chiropractor |
| 0D0000002943 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sawyer Scott Eyecare Center PLLC | Optometrist | Past | Accepting new patients |
| Sawyer Scott LLC Dba the Eyecare Center | Optometrist | Past | Accepting new patients |
Networks
- MS PPO
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- MS PPO C-SNP
- TN PPO C-SNP
- MS PPO D-SNP
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- TN PPO
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Sardis, MS
- NPI 1356904445
-
- Optometrist
- Sardis, MS
- NPI 1619460607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1003113606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 OAKLEAF OFFICE LN STE 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174820",
"telephone_number": "901-821-8337",
"fax_number": "901-379-8297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 OAKLEAF OFFICE LN STE 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174820",
"telephone_number": "901-821-8337",
"fax_number": "901-379-8297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLEY",
"first_name": "SETH",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-16",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "0D0000002943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04989221",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q010698",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.