Courtney Deshun Avery, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DPO0000002710 Issued in TN

Practice address

4630 Merchants Park Cir Ste 705
Collierville, TN 38017-9114

Phone

(901) 930-5288

NPI assigned

May 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clariti Eye Care, LLC

  • Optician
  • Collierville, TN
  • NPI 1003547969
  NPD Authorized official

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1144968611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 MERCHANTS PARK CIR STE 705",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179114",
            "telephone_number": "901-930-5288",
            "fax_number": "901-930-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 MERCHANTS PARK CIR STE 705",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179114",
            "telephone_number": "901-930-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "COURTNEY",
        "middle_name": "DESHUN",
        "name_prefix": "Mr.",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TN",
            "license": "DPO0000002710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ara James Hanissian MD PLLC
• Tabitha Ashley Mamie Aranda, LMT
• Carly Archer, NP
• Linda Poole Austin
• Suzanna Autry
• Charles W Bagley, PNP
• Scott K Baird, PHARMD
• Joseph D Baker II, DO
• Lauren Ann Baker, OT
• Monica Kay Baker, PT, ATC

• All providers in Collierville, TN
• Optician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.