Individual provider Active NPI

Gillian Norris

  • Optometrist
  • Memphis, TN
National Provider Identifier
1548029366
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3863 Issued in TN
Practice address
4562 Poplar Ave Ste 115
Memphis, TN 38117-7519
Phone
(901) 683-1796
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3863 TN Primary

Addresses

Primary practice location

4562 Poplar Ave Ste 115
Memphis, TN 38117-7519

Mailing address

4562 Poplar Ave Ste 115
Memphis, TN 38117-7519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3863TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Richard C. Buck OD PC Optometrist CurrentSince Mar 17, 2024 Accepting new patients
Visionworks, Inc PastSince Mar 17, 2024 Accepting new patients

Locations

4562 Poplar Ave
Ste 115
Memphis, TN 38117
Phone (901) 683-1689

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1548029366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4562 POPLAR AVE STE 115",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4562 POPLAR AVE STE 115",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177519",
            "telephone_number": "901-683-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "GILLIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3863",
            "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 Mar 14, 2024; 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.