Individual provider Active NPI

Azalia Rochelle Roach, OD

  • Optometrist
  • Memphis, TN
National Provider Identifier
1013751643
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3907 Issued in TN
Practice address
1245 Madison Ave
Memphis, TN 38104-2211
Phone
(901) 722-3200
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3907 TN Primary

Addresses

Primary practice location

1245 Madison Ave
Memphis, TN 38104-2211

Mailing address

1245 Madison Ave
Memphis, TN 38104-2211

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
I20240813003184 TN Practitioner - Optometry 6507304235 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Memphis Health Center, Inc.Group PAC ID 7315859972, 17 clinicians

Practice addresses (Care Compare)

1605 N Germantown Pkwy
Suite 101
Cordova, TN 38016-5974
Phone (901) 379-2021

2075 Exeter Rd
Suite 70
Germantown, TN 38138-3920
Phone (901) 754-2020

360 E Eh Crump Blvd
Memphis, TN 38126-5310
Phone (901) 261-2025

629 Market St
Suite 115
Chattanooga, TN 37402-4891
Phone (423) 265-4306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Health Center, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist Current Accepting new patients
Southern College of Optometry Optometrist CurrentSince Sep 6, 2024 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Jul 25, 2024 Accepting new patients
Memphis Health Center, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Jul 25, 2024 Accepting new patients
Myeyedr Optometry of Tennessee LLC Optometrist Past Accepting new patients

Locations

2817 Bartlett Blvd
Bartlett, TN 38134
Phone (901) 371-0770

629 Market St
Ste 115
Chattanooga, TN 37402
Phone (423) 265-4306

472 W Poplar Ave
Ste 102
Collierville, TN 38017
Phone (901) 329-8055

1605 N Germantown Pkwy
Ste 101
Cordova, TN 38016
Phone (901) 379-2021

2075 Exeter Rd
Ste 70
Germantown, TN 38138
Phone (901) 754-2020

7825 Winchester Rd
Ste 117
Memphis, TN 38125
Phone (901) 365-9732

1350 Concourse Ave
Ste 264
Memphis, TN 38104
Phone (901) 252-3670

103 S Main St
Memphis, TN 38103
Phone (901) 495-9900

857 Mount Moriah Rd
Memphis, TN 38117
Phone (901) 767-7024

6150 Poplar Ave
Ste 115
Memphis, TN 38119
Phone (901) 682-3937

360 E Eh Crump Blvd
Memphis, TN 38126
Phone (901) 261-2000

1245 Madison Ave
Memphis, TN 38104
Phone (901) 722-3250

3295 Poplar Ave
Ste 107
Memphis, TN 38111
Phone (901) 324-2122

4940 Highway 57
Rossville, TN 38066
Phone (901) 261-2221

4940 Highway 57
Ste 107
Rossville, TN 38066
Phone (901) 261-2221

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • MS PPO C-SNP
  • KY PPO
  • MS PPO
  • MS PPO D-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEFDD/Endpoint/HIEFDD

Organizations & group practices 8

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1013751643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042211",
            "telephone_number": "901-722-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "AZALIA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.