Active NPI
Memphis Retina, PLLC
- Ophthalmology Physician
- Memphis, TN
National Provider Identifier
1396991832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25588
- Legal business name
- MEMPHIS RETINA, PLLC
- Practice address
- 1264 Wesley Dr
Suite 302
Memphis, TN 38116-6400 - Phone
- (901) 348-0415
- NPI assigned
- Aug 15, 2008
- Last updated
- Feb 11, 2010
- 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
- Seth L Yoser, MD
- Title
- President
- Phone
- (901) 348-0415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25588 | TN | Primary |
Addresses
Primary practice location
1264 Wesley Dr
Suite 302
Memphis, TN 38116-6400
Mailing address
PO Box 1000 Dept 919
Memphis, TN 38148-0919
Phone (901) 377-8727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3084098 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
3035 Corder Dr
Corinth, MS 38834
Phone (662) 286-9292
1550 N Medical Park Dr
Greenville, MS 38703
Phone (662) 334-9337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265846400000",
"number": "1396991832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000 DEPT 919",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480919",
"telephone_number": "901-377-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 WESLEY DR",
"address_2": "SUITE 302",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381166400",
"telephone_number": "901-348-0415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMPHIS RETINA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-15",
"last_updated": "2010-02-11",
"status": "A",
"authorized_official_last_name": "YOSER",
"authorized_official_first_name": "SETH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-348-0415",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "25588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3084098",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Memphis Refractive, LLC (TLC Memphis)
- Memphis Regional Planned Parenthood
- Memphis Respiratory Clinic, PLLC
- Memphis Respiratory Home Care, Inc
- Memphis Retina PLLC
- Memphis Royal Home Care
- Memphis Sleep Diagnostics
- Memphis Spine and Rehab Center, PLLC
- Memphis Surgery Associates, P.C.
- Memphis Surgery Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.