Organization 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
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000000045 Issued in TN
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

Updated by the provider on Nov 9, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3287093MedicaidTN

Other names 1

  • MECA LASER AND SURGERY CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 44C0001009
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1105527Memphis Eye & Cataract Ambulatory Surgery Center6485 Poplar Ave 2ND Floor, Memphis, TN 38119Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.