Active NPI
Gillian Norris
- Optometrist
- Memphis, TN
National Provider Identifier
1548029366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3863
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3863 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Richard C. Buck OD PC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Past | 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.
-
- Optometrist
- Memphis, TN
- NPI 1972747475
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
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
- Lamonica Antoinette Norman, BA
- Melvin Thomas Norman Jr., BA/LADAC2/QCS/NCAC1/
- Diane Norrby, P.A.
- Sarah Norrid, PHARM.D.
- Donna Renai Norris, APRN, BC
- Mary Katherine Norris, PA
- Janice Norsworthy, PMHNP-BC
- North Delta Medical Services, Inc.
- North Delta Medical Supplies, Inc
- North Delta Medical Supplies, Inc
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.