Gerald A Eisenstatt, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT954 Issued in TN

Practice address

103 S Main St
Memphis, TN 38103-2910

Phone

(901) 495-9900

Fax

(901) 521-1747

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Tennessee LLCGroup PAC ID 1759646995, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Myeyedr Optometry of Tennessee, LLC

  • Optometrist
  • Chattanooga, TN
  • NPI 1619481587
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Tennessee, LLC

  • Optometrist
  • Memphis, TN
  • NPI 1497230130
  NPD
• Myeyedr Optometry of Tennessee, LLC

  • Optometrist
  • Mt Juliet, TN
  • NPI 1588516918
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1497823280",
    "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": "103 S MAIN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032910",
            "telephone_number": "901-495-9900",
            "fax_number": "901-521-1747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "857 Mount Moriah Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381175704",
            "country_code": "US",
            "telephone_number": "901-767-7080",
            "fax_number": "901-767-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENSTATT",
        "first_name": "GERALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Einhaus, MD
• Robert Martin Eiseman, MD
• Charles Nicholas Eisenhauer IV, M.D.
• Eisenhower Army Medical Center
• Elizabeth Danielle Eisenman, MSN, APRN, FNP-BC
• Ashley Maree Eishen, RN
• Rosita Nnenna Ekem
• Zaynah El Maazouzi, BCBA
• Ahmed El-Hamarna, CRNA
• Omar Ibrahim El-Hamarna, FNP

• Optometrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.