Organization Active NPI

Jesse M Wesberry MD PSC

Doing business as Wesberry Optical

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1215157003
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MD13481 Issued in TN
Legal business name
JESSE M WESBERRY MD PSC
Doing business as
Wesberry Optical
Practice address
2900 S Perkins Rd
Memphis, TN 38118-3237
Phone
(901) 362-3100
Fax
(901) 362-3372
NPI assigned
Apr 26, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Mary Lee Wesberry
Title
Vice President/Office Manger
Phone
(901) 362-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MD13481 TN Primary

Addresses

Primary practice location

2900 S Perkins Rd
Memphis, TN 38118-3237

Mailing address

2900 S Perkins Rd
Memphis, TN 38118-3237
Phone (901) 362-3100

Other identifiers 1

IdentifierTypeStateIssuer
0431972OtherTNHEALTHSPRING ID#

Other names 1

  • Wesberry Optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1215157003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S PERKINS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183237",
            "telephone_number": "901-362-3100",
            "fax_number": "901-362-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S PERKINS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183237",
            "telephone_number": "901-362-3100",
            "fax_number": "901-362-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE M WESBERRY MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "WESBERRY",
        "authorized_official_first_name": "MARY LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT/OFFICE MANGER",
        "authorized_official_telephone_number": "901-362-3100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "MD13481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING ID#",
            "identifier": "0431972",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesberry Optical",
            "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 Jun 16, 2008; 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.