Active NPI
Memphis Eye and Cataract Ambulatory Surgery Center Inc
Doing business as Meca Laser and Surgery Center
- Ambulatory Surgical Clinic/Center
- Memphis, TN
National Provider Identifier
1285603100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0000000045
- Legal business name
- MEMPHIS EYE AND CATARACT AMBULATORY SURGERY CENTER INC
- Doing business as
- Meca Laser and Surgery Center
- Practice address
- 6485 Poplar Ave
Memphis, TN 38119-4864 - Phone
- (901) 767-4014
- Fax
- (901) 767-1695
- NPI assigned
- Mar 14, 2006
- 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
- Dr. Jerre M Freeman, MD
- Title
- Owner
- Phone
- (901) 767-4014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0000000045 | TN | Primary |
Addresses
Primary practice location
6485 Poplar Ave
Memphis, TN 38119-4864
Mailing address
6485 Poplar Ave
Memphis, TN 38119-4864
Phone (901) 767-4014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3287093 | Medicaid | TN |
Other names 1
- MECA LASER AND SURGERY CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071126000590 | TN | Part B Supplier - Ambulatory Surgical Center | 7012005143 | Practice locations: Memphis, TN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Memphis Eye and Cataract Ambulatory Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1105527 | Memphis Eye & Cataract Ambulatory Surgery Center | Certificate of waiver | Sep 23, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1902805823
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1538168455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194566400000",
"number": "1285603100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6485 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194864",
"telephone_number": "901-767-4014",
"fax_number": "901-767-1695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6485 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194864",
"telephone_number": "901-767-4014",
"fax_number": "901-767-1695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMPHIS EYE AND CATARACT AMBULATORY SURGERY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2007-11-09",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "JERRE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-767-4014",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TN",
"license": "0000000045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3287093",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MECA LASER AND SURGERY CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
- Memphis DME Supply LLC
- Memphis Electrocardiographic Physicians PLLC
- Memphis Emergency Dental
- Memphis Endodontics, PLC
- Memphis Eye & Cataract Associates PLC
- Memphis Eye and Cataract Associates PLC (Meca Optical Images)
- Memphis Eye Clinic PLC
- Memphis Family and Cosmetic Dentistry
- Memphis Family Care
- Memphis Family Chiropractic Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.