NPIMap

Organization Active NPI

Rachel S. Wyatt, OD, Inc.

  • Optometrist
  • Collierville, TN
National Provider Identifier
1043495369
Registry record updated Jan 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2471 Issued in TN
Legal business name
RACHEL S. WYATT, OD, INC.
Practice address
560 W Poplar Ave
Collierville, TN 38017-6507
Phone
(901) 854-3937
Fax
(901) 854-0439
NPI assigned
Jan 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2008

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

Authorized official

Name
Dr. Rachel Sharp Wyatt, O.D.NPI 1407908114
Title
President
Phone
(901) 854-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2471 TN Primary

Addresses

Primary practice location

560 W Poplar Ave
Collierville, TN 38017-6507

Mailing address

5643 Heartwood Dr
Memphis, TN 38135-1011
Phone (901) 490-6255

National Provider Directory

National Provider Directory

Locations

560 W Poplar Ave
Collierville, TN 38017
Phone (901) 854-0010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199491200000",
    "number": "1043495369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 HEARTWOOD DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381351011",
            "telephone_number": "901-490-6255",
            "fax_number": "901-854-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W POPLAR AVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176507",
            "telephone_number": "901-854-3937",
            "fax_number": "901-854-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL S. WYATT, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-05",
        "last_updated": "2008-01-05",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "SHARP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-854-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2008; 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.