Mid-South Retina Associates, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MID-SOUTH RETINA ASSOCIATES, LLC

Practice address

300 S 8TH St
Suite 284W
Murray, KY 42071-2400

Phone

(800) 221-7892

Fax

(901) 682-6915

NPI assigned

Jun 18, 2006

Organization subpart

Yes

Parent organization

MID-SOUTH RETINA ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Richard Sievers, M.D.

Title

Partner

Phone

(800) 221-7892

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Mid-South Retina Associates LLC

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1255376919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 448",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480448",
            "telephone_number": "901-682-1100",
            "fax_number": "901-682-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST",
            "address_2": "SUITE 284W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712400",
            "telephone_number": "800-221-7892",
            "fax_number": "901-682-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH RETINA ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-SOUTH RETINA ASSOCIATES, LLC",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "SIEVERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "800-221-7892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000261767",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64721467",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Mehr
• Walter W Mehr, RPH
• Ryan Messenger, RDN
• Michael L Bobo DDS MD PSC
• Lamprinos Michailidis, MD
• Kristina Middleton
• Dan M. Miller, M.D.
• Diane E Miller, PA-C
• Elisa R Miller, PA-C
• Melesa Renee Miller, PTA

• Ophthalmology Physician in Murray, KY
• Providers in Murray, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.