Active NPI
Carrie Tobin Irvine, O.D.
- Optometrist
- Memphis, TN
National Provider Identifier
1013135128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2462
- Practice address
- 1714 W Massey Rd
Memphis, TN 38120-4205 - Phone
- (901) 685-5520
- Fax
- (901) 685-0782
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2462 | TN | Primary |
Addresses
Primary practice location
1714 W Massey Rd
Memphis, TN 38120-4205
Mailing address
5491 Park Ave
Memphis, TN 38119-4936
Phone (901) 212-4262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LS of Memphis, PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013135128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5491 PARK AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194936",
"telephone_number": "901-212-4262",
"fax_number": "901-685-0782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 W MASSEY RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204205",
"telephone_number": "901-685-5520",
"fax_number": "901-685-0782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVINE",
"first_name": "CARRIE",
"middle_name": "TOBIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2462",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.