Individual provider Active NPI

Cailey Ruth Mokry, OD

  • Optometrist
  • Millington, TN
National Provider Identifier
1184461527
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3905 Issued in TN
Practice address
8120 US Highway 51 N Ste 7
Millington, TN 38053-1702
Phone
(901) 872-2020
NPI assigned
Jul 12, 2024
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3905 TN Primary

Addresses

Primary practice location

8120 US Highway 51 N Ste 7
Millington, TN 38053-1702

Mailing address

PO Box 271520
Memphis, TN 38167-1520
Phone (901) 872-2020

Other practice location 1

2070 Whitney Ave
Memphis, TN 38127-9014
Phone (901) 872-2020

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
I20250325003362 TN Practitioner - Optometry 6709309214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Eye PLCGroup PAC ID 1456387158, 3 clinicians

Practice addresses (Care Compare)

8120 US Hwy 51 N
Suite 6
Millington, TN 38053-1702
Phone (901) 872-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3905TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Eye PLC Optometrist CurrentSince Apr 20, 2025 Accepting new patients
West Tennessee Eye PLC Optometrist CurrentSince Jan 3, 2025 Accepting new patients

Locations

2070 Whitney Ave
Memphis, TN 38127
Phone (901) 357-0371

8120 US Highway 51 N
Ste 6
Millington, TN 38053
Phone (901) 872-2020

8120 US Highway 51 N
Ste 7
Millington, TN 38053
Phone (901) 872-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1184461527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271520",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381671520",
            "telephone_number": "901-872-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 US HIGHWAY 51 N STE 7",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531702",
            "telephone_number": "901-872-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2070 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381279014",
            "country_code": "US",
            "telephone_number": "901-872-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOKRY",
        "first_name": "CAILEY",
        "middle_name": "RUTH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, TN

Sources for this page

Verify at the official NPI Registry.