Individual provider Active NPI

Meade H Kendrick III, O.D.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1104941129
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TOD1158 Issued in TN
Practice address
6150 Poplar Ave Ste 115
Memphis, TN 38119-4744
Phone
(901) 682-3937
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TOD1158 TN Primary

Addresses

Primary practice location

6150 Poplar Ave Ste 115
Memphis, TN 38119-4744

Mailing address

6150 Poplar Ave Ste 115
Memphis, TN 38119-4744
Phone (901) 682-3937

Other names 1

  • Dr. Meade H Kendrick III Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190620000291 TN Practitioner - Optometry 4082948393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Tennessee LLCGroup PAC ID 1759646995, 45 clinicians

Practice addresses (Care Compare)

6150 Poplar Ave
Suite 115
Memphis, TN 38119-4744
Phone (901) 682-3937

629 Market St
Suite 115
Chattanooga, TN 37402-4891
Phone (423) 265-4306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1158TNMDMarriage & Family Therapist
TOD1158TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince May 20, 2019 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince May 20, 2019 Accepting new patients

Locations

2817 Bartlett Blvd
Bartlett, TN 38134
Phone (901) 371-0770

629 Market St
Ste 115
Chattanooga, TN 37402
Phone (423) 265-4306

472 W Poplar Ave
Ste 102
Collierville, TN 38017
Phone (901) 329-8055

1605 N Germantown Pkwy
Ste 101
Cordova, TN 38016
Phone (901) 379-2021

6150 Poplar Ave
Ste 115
Memphis, TN 38119
Phone (901) 682-3937

7825 Winchester Rd
Ste 117
Memphis, TN 38125
Phone (901) 365-9732

3295 Poplar Ave
Ste 107
Memphis, TN 38111
Phone (901) 324-2122

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104941129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 POPLAR AVE STE 115",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194744",
            "telephone_number": "901-682-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 POPLAR AVE STE 115",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194744",
            "telephone_number": "901-682-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "MEADE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TOD1158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEADE",
            "last_name": "KENDRICK",
            "middle_name": "H",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.