Individual provider Active NPI

Seth Aaron Salley, O.D.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1003113606
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0D0000002943 Issued in TN
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04989221MedicaidMS
Q010698MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000507 TN Practitioner - Optometry 9133399587 Reassigns benefits to 1 organization

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
Seth Salley Enterprises LLCGroup PAC ID 8527378991, 2 clinicians

Practice addresses (Care Compare)

618 Oakleaf Office LN
Suite 100
Memphis, TN 38117-4820
Phone (901) 821-8337

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2943TNMDChiropractor
0D0000002943TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.