Active NPI
Heather Roberts, OD
- Optometrist
- Memphis, TN
National Provider Identifier
1083536221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4020
- Practice address
- 6029 Walnut Grove Rd Ste 101
Memphis, TN 38120-2112 - Phone
- (901) 747-3900
- NPI assigned
- Jul 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4020 | TN | Primary |
Addresses
Primary practice location
6029 Walnut Grove Rd Ste 101
Memphis, TN 38120-2112
Mailing address
6029 Walnut Grove Rd Ste 101
Memphis, TN 38120-2112
Phone (901) 747-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memphis Eye Clinic PLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1730361429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1083536221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6029 WALNUT GROVE RD STE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202112",
"telephone_number": "901-747-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6029 WALNUT GROVE RD STE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202112",
"telephone_number": "901-747-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "HEATHER",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "4020",
"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 Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.