Midsouth Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

TN611 Issued in TN

Legal business name

MIDSOUTH VISION CENTER

Practice address

3314 Poplar Ave Ste#1
Memphis, TN 38111

Phone

(901) 324-3189

Fax

(901) 324-2851

NPI assigned

Oct 17, 2012

Last updated

Oct 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Ann Blaicher, OPTICIAN

Title

Manager/Optician

Phone

(901) 373-4207

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen R. Davis, O.D.

  • Optometrist
  • Memphis, TN
  • NPI 1558442129
  NPD (past)

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1043563935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 POPLAR AVE SUITE #1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38111",
            "telephone_number": "901-324-3189",
            "fax_number": "901-324-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 POPLAR AVE STE#1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38111",
            "telephone_number": "901-324-3189",
            "fax_number": "901-324-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "BLAICHER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER/OPTICIAN",
        "authorized_official_telephone_number": "901-373-4207",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100197",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midsouth Neuropathy Treatment Center
• Midsouth Primary Care PC
• Midsouth Residential Care Center,Inc.
• Midsouth Sleep Diagnostic Center Inc (American Sleep Medicine)
• Midsouth Therapy Group
• Midtown Center for Health and Rehabilitation, LLC (Midtown Center For Health and Rehabilitation)
• Midtown Center for Rehabilitation and Healing, LLC (Midtown Center For Rehabilitation and Healing)
• Midtown Chiropractic
• Midtown Chiropractic PLLC
• Midtown Clinic LLC

• Optometrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.