NPIMap

Organization Active NPI

Memphis Family Vision Practice

  • Optometrist
  • Memphis, TN
National Provider Identifier
1477875425
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MEMPHIS FAMILY VISION PRACTICE
Practice address
857 Mount Moriah Rd
Memphis, TN 38117-5704
Phone
(901) 767-7080
Fax
(901) 767-2020
NPI assigned
Feb 18, 2010
Last updated
Feb 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Dr. Gerald A Eisenstatt, ODNPI 1497823280
Title
Owner
Phone
(901) 767-7080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

857 Mount Moriah Rd
Memphis, TN 38117-5704

Mailing address

857 Mount Moriah Rd
Memphis, TN 38117-5704
Phone (901) 767-7080

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1477875425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 MOUNT MORIAH RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175704",
            "telephone_number": "901-767-7080",
            "fax_number": "901-767-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 MOUNT MORIAH RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175704",
            "telephone_number": "901-767-7080",
            "fax_number": "901-767-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS FAMILY VISION PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "EISENSTATT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-767-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 18, 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.