Individual provider Active NPI

Thomas Cross Coleman, O.D.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1215070628
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2257 Issued in TN
Practice address
2817 Bartlett Blvd
Memphis, TN 38134-4529
Phone
(901) 371-0770
Fax
(901) 371-9892
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2257 TN Primary

Addresses

Primary practice location

2817 Bartlett Blvd
Memphis, TN 38134-4529

Mailing address

4132 Poplar Ave
Memphis, TN 38117-3618
Phone (901) 680-0377

Other practice location 1

475 N Germantown Pkwy
Target Optical
Cordova, TN 38018-6209
Phone (901) 248-0203

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
I20191119001076 TN Practitioner - Optometry 5294167995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
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)

2817 Bartlett Blvd
Memphis, TN 38134-4529
Phone (901) 371-0770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2257TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Sep 9, 2019 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist Current Accepting new patients
Southern College of Optometry Optometrist CurrentSince Sep 21, 2023 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Sep 9, 2019 Accepting new patients
Katherine a. Decolibus, DDS PLLC Past Accepting new patients
Southern College of Optometry Optometrist PastSince Sep 21, 2023 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

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

1245 Madison Ave
Memphis, TN 38104
Phone (901) 722-3250

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

212 Rawlins Service Ct
Memphis, TN 38152
Phone (901) 252-3697

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 6

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1215070628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381173618",
            "telephone_number": "901-680-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 BARTLETT BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381344529",
            "telephone_number": "901-371-0770",
            "fax_number": "901-371-9892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 N Germantown Pkwy",
            "address_2": "Target Optical",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380186209",
            "country_code": "US",
            "telephone_number": "901-248-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "THOMAS",
        "middle_name": "CROSS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.