Organization Active NPI

Seth Salley Enterprises, LLC

Doing business as Clearview Family Eyecare

  • Optometrist
  • Memphis, TN
National Provider Identifier
1144690827
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2943 Issued in TN
Legal business name
SETH SALLEY ENTERPRISES, LLC
Doing business as
Clearview Family Eyecare
Practice address
618 Oakleaf Office LN
Suite 100
Memphis, TN 38117-4825
Phone
(901) 821-8337
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Seth Salley, ODNPI 1003113606
Title
Managing Member
Phone
(901) 821-8337

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 2943 TN Primary

Addresses

Primary practice location

618 Oakleaf Office LN
Suite 100
Memphis, TN 38117-4825

Mailing address

618 Oakleaf Office LN
Suite 100
Memphis, TN 38117-4825
Phone (901) 821-8337

Other names 1

  • Clearview Family Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151116000587 TN Part B Supplier - Clinic/Group Practice 8527378991 Receives reassigned benefits from 2 practitioners
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

618 Oakleaf Office Ln
Ste 100
Memphis, TN 38117
Phone (901) 409-4317

Practitioners & affiliated clinicians

Practitioners 2

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": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1144690827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 OAKLEAF OFFICE LN",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174825",
            "telephone_number": "901-821-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 OAKLEAF OFFICE LN",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174825",
            "telephone_number": "901-821-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH SALLEY ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "SALLEY",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "901-821-8337",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearview Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.