Organization Active NPI

Doctors Eyecare Center, LLC

  • Optometrist
  • Cordova, TN
National Provider Identifier
1033535091
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT 1142 Issued in TN
Legal business name
DOCTORS EYECARE CENTER, LLC
Practice address
1795 N Germantown Pkwy
Cordova, TN 38016-5092
Phone
(901) 737-1333
Fax
(901) 737-1047
NPI assigned
Mar 13, 2014
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Dr. Oscar Ramos, O.D.
Title
Manager
Phone
(901) 461-9787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODT 1142 TN Primary

Addresses

Primary practice location

1795 N Germantown Pkwy
Cordova, TN 38016-5092

Mailing address

1795 N Germantown Pkwy
Cordova, TN 38016-5092
Phone (901) 737-1333

Other identifiers 1

IdentifierTypeStateIssuer
3596890MedicaidTN

National Provider Directory

National Provider Directory

Locations

1795 N Germantown Pkwy
Cordova, TN 38016
Phone (901) 737-1333

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1033535091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 N GERMANTOWN PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165092",
            "telephone_number": "901-737-1333",
            "fax_number": "901-737-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 N GERMANTOWN PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165092",
            "telephone_number": "901-737-1333",
            "fax_number": "901-737-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS EYECARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "901-461-9787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT 1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3596890",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.