Individual provider Active NPI

Henry G McQuirter, O.D.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1215977871
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000000893 Issued in TN
Practice address
825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone
(901) 685-2200
Fax
(901) 820-2342
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD0000000893 TN Primary

Addresses

Primary practice location

825 Ridge Lake Blvd
Memphis, TN 38120-9411

Mailing address

825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone (901) 685-2200

Other identifiers 7

IdentifierTypeStateIssuer
200683OtherTNWELLCARE
925130OtherBLOCK VISION
3595398MedicaidTN
5099554OtherAETNA
P00279229OtherTNRR MEDICARE
4111863OtherBCBS
00087053MedicaidMS

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
I20051022000066 TN Practitioner - Optometry 8224054895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VRF Eye Specialty Group, PLCGroup PAC ID 2264328723, 16 clinicians

Practice addresses (Care Compare)

825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone (901) 685-2200

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
86.03
Improvement activities
40
Cost
74.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD0000000893TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
VRF Eye Specialty Group, PLC Optometrist CurrentSince May 9, 1995 Accepting new patients
VRF Eye Specialty Group, PLC Optometrist CurrentSince Sep 19, 2005 Accepting new patients

Locations

5406 Knight Arnold Rd
Memphis, TN 38115
Phone (901) 359-8081

825 Ridge Lake Blvd
Memphis, TN 38120
Phone (901) 685-6150

Interoperability endpoints

  • Direct secure messaging: drmcquirter@esg.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1215977871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 RIDGE LAKE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209411",
            "telephone_number": "901-685-2200",
            "fax_number": "901-820-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 RIDGE LAKE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209411",
            "telephone_number": "901-685-2200",
            "fax_number": "901-820-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUIRTER",
        "first_name": "HENRY",
        "middle_name": "G",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000000893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "200683",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "925130",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3595398",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5099554",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00279229",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4111863",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087053",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.