Active NPI
Seniorwell of Tennessee LLC
- Optometrist
- Memphis, TN
National Provider Identifier
1275165250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SENIORWELL OF TENNESSEE LLC
- Practice address
- 1661 International Drive
Suite 400
Memphis, TN 38120-1431 - Phone
- (844) 882-3127
- NPI assigned
- Feb 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Mororney
- Title
- Ceo
- Phone
- (844) 882-3127
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Optometrist | 152W00000X | Primary | ||
| Podiatrist | 213E00000X | |||
| Audiologist | 231H00000X |
Addresses
Primary practice location
1661 International Drive
Suite 400
Memphis, TN 38120-1431
Mailing address
2100 E Lake Cook Rd Ste 1000
Buffalo Grove, IL 60089-1999
Phone (844) 882-3127
Other names 1
- SeniorWell POD of Tennessee LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581033600000",
"number": "1275165250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 E LAKE COOK RD STE 1000",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891999",
"telephone_number": "844-882-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 INTERNATIONAL DRIVE",
"address_2": "SUITE 400",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381201431",
"telephone_number": "844-882-3127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIORWELL OF TENNESSEE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-07",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A",
"authorized_official_last_name": "MORORNEY",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "844-882-3127"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SeniorWell POD of Tennessee LLC",
"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 Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.