Individual provider Active NPI

Desirae Brinkley

  • Optometrist
  • Memphis, TN
National Provider Identifier
1285188490
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3298 Issued in TN
Practice address
825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone
(901) 685-2200
Fax
(901) 820-2342
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3298 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 3

IdentifierTypeStateIssuer
217042722MedicaidAR
06772824MedicaidMS
Q025091MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161012001872 TN Practitioner - Optometry 1254629934 Reassigns benefits to 2 organizations
I20181010000097 MS Practitioner - Optometry 1254629934 Reassigns benefits to 1 organization
I20210824002284 AR Practitioner - Optometry 1254629934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
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)

1000 Windover Rd
Suite C
Jonesboro, AR 72401-6067
Phone (901) 685-2200

1458 W Poplar Ave
Suite 101
Collierville, TN 38017-0632
Phone (901) 685-2200

325 C N Sebastian
West Helena, AR 72390-2417
Phone (870) 572-7886

7600 Airways Blvd
Suite F
Southaven, MS 38671-5138
Phone (901) 685-2200

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
3298TNMDMental Health Counselor
4024ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
VRF Eye Specialty Group, PLC Optometrist CurrentSince Mar 1, 2017 Accepting new patients
VRF Eye Specialty Group, PLC Optometrist CurrentSince Mar 1, 2017 Accepting new patients

Locations

1000 Windover Rd
Ste C
Jonesboro, AR 72401
Phone (870) 972-6040

800 Professional Acres Dr
Jonesboro, AR 72401
Phone (870) 333-1087

325C N Sebastian
West Helena, AR 72390
Phone (870) 572-7886

412 Central Ave
Coldwater, MS 38618
Phone (662) 622-5173

6947 Crumpler Blvd
Olive Branch, MS 38654
Phone (662) 893-3300

7600 Airways Blvd
Ste F
Southaven, MS 38671
Phone (662) 349-5901

391 Southcrest Cir
Ste 108
Southaven, MS 38671
Phone (662) 349-0910

7600 Airways Blvd
Ste C
Southaven, MS 38671
Phone (901) 683-4600

1458 W Poplar Ave
Ste 101
Collierville, TN 38017

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

5350 Poplar Ave
Ste 950
Memphis, TN 38119
Phone (901) 683-4600

Interoperability endpoints

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

Organizations & group practices 3

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": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1285188490",
    "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": "BRINKLEY",
        "first_name": "DESIRAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217042722",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06772824",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025091",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.