Active NPI
Desirae Brinkley
- Optometrist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3298
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217042722 | Medicaid | AR | |
| 06772824 | Medicaid | MS | |
| Q025091 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 86.03
- Improvement activities
- 40
- Cost
- 74.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3298 | TN | MD | Mental Health Counselor |
| 4024 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VRF Eye Specialty Group, PLC | Optometrist | Current | Accepting new patients |
| VRF Eye Specialty Group, PLC | Optometrist | Current | 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
- 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.
-
- Optometrist
- Jackson, TN
- NPI 1356498828
-
- Optometrist
- Hernando, MS
- NPI 1255954863
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.