Organization Active NPI

Memphis Retina, PLLC

  • Ophthalmology Physician
  • Memphis, TN
National Provider Identifier
1396991832
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25588 Issued in TN
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3084098MedicaidTN

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.