NPIMap

Organization Active NPI

Professional Eyecare Optical

Doing business as Eyewear Gallery

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1225238181
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
ODT968 Issued in TN
Legal business name
PROFESSIONAL EYECARE OPTICAL
Doing business as
Eyewear Gallery
Practice address
428 Perkins Ext
Memphis, TN 38117-3802
Phone
(901) 763-2020
Fax
(901) 763-2219
NPI assigned
Jul 19, 2007
Last updated
Aug 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Dr. Warren S Johnson, O.D.NPI 1225000540
Title
Owner
Phone
(901) 763-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X ODT968 TN Primary

Addresses

Primary practice location

428 Perkins Ext
Memphis, TN 38117-3802

Mailing address

428 Perkins Ext
Memphis, TN 38117-3802
Phone (901) 763-2020

Other names 1

  • Eyewear Gallery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1225238181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 PERKINS EXT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381173802",
            "telephone_number": "901-763-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 PERKINS EXT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381173802",
            "telephone_number": "901-763-2020",
            "fax_number": "901-763-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL EYECARE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-763-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "ODT968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyewear Gallery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyewear Gallery",
            "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 Aug 2, 2018; 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.