Individual provider Active NPI

Lorig Sildiryan, OD

  • Optometrist
  • Memphis, TN
National Provider Identifier
1376062729
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3487 Issued in TN
Practice address
930 Madison Ave Ste 400
Memphis, TN 38103-7400
Phone
(901) 287-7337
Fax
(901) 448-1813
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003347 PA
Optometrist 152W00000X 3487 TN Primary

Addresses

Primary practice location

930 Madison Ave Ste 400
Memphis, TN 38103-7400

Mailing address

930 Madison Ave Ste 400
Memphis, TN 38103-7400
Phone (901) 287-7337

Other practice location 1

848 Adams Ave Ste L400
Memphis, TN 38103-2816
Phone (901) 287-7337

Other practice location 2

6401 Poplar Ave Ste 324
Memphis, TN 38119-4808
Phone (901) 681-9600

Other identifiers 1

IdentifierTypeStateIssuer
Q060865MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191112003629 TN Practitioner - Optometry 8527325810 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003347PAMDOptometrist
3487TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Jude Children'S Research Hospital, Inc. CurrentSince Jun 13, 2023 Accepting new patients
Kathryn Byrd,MD,PC. PastSince Oct 1, 2020 Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients

Locations

262 Danny Thomas Pl
Memphis, TN 38105
Phone (888) 226-4343

Organizations & group practices 4

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1376062729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MADISON AVE STE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381037400",
            "telephone_number": "901-287-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MADISON AVE STE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381037400",
            "telephone_number": "901-287-7337",
            "fax_number": "901-448-1813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "848 Adams Ave Ste L400",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381032816",
            "country_code": "US",
            "telephone_number": "901-287-7337",
            "fax_number": "901-448-1813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 Poplar Ave Ste 324",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381194808",
            "country_code": "US",
            "telephone_number": "901-681-9600",
            "fax_number": "901-681-9608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILDIRYAN",
        "first_name": "LORIG",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003347",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q060865",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.