Organization Active NPI

Memphis Family Vision Practice

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1487830642
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Gerald Eisenstatt, O.D.
Title
Owner
Phone
(901) 767-7080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 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

Locations

857 Mount Moriah Rd
Memphis, TN 38117
Phone (901) 767-7024

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1487830642",
    "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": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "EISENSTATT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-767-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "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 Jan 17, 2008; 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.