Organization Active NPI

CLR Eyecare PLLC

  • Optometrist
  • Memphis, TN
National Provider Identifier
1083220255
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CLR EYECARE PLLC
Practice address
5255 Elvis Presley Blvd
Memphis, TN 38116-8233
Phone
(901) 258-6945
NPI assigned
Sep 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Dr. Gary Desmond Beamon, OD
Title
Optometrist
Phone
(901) 922-8945

Specialties & licenses 1

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

Addresses

Primary practice location

5255 Elvis Presley Blvd
Memphis, TN 38116-8233

Mailing address

5255 Elvis Presley Blvd
Memphis, TN 38116-8233
Phone (901) 922-8945

National Provider Directory

National Provider Directory

Locations

5255 Elvis Presley Blvd
Memphis, TN 38116
Phone (901) 346-4557

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1083220255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 ELVIS PRESLEY BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381168233",
            "telephone_number": "901-922-8945",
            "fax_number": "901-346-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 ELVIS PRESLEY BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381168233",
            "telephone_number": "901-258-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLR EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "BEAMON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DESMOND",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "901-922-8945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 Aug 17, 2021; 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.