2001 Vision Center PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

2001 VISION CENTER PC

Practice address

4566 Elvis Presley Blvd
Memphis, TN 38116

Phone

(901) 396-2001

Fax

(901) 396-0852

NPI assigned

Jan 18, 2007

Last updated

Aug 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beverly B Rogers

Title

Corporate Secretary

Phone

(901) 363-2001

Specialties & licenses 1

Addresses

Other identifiers 7

Tax ID family

2001 Vision Center PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• 2001 Vision Center

  • Optometrist
  • Memphis, TN
  • NPI 1790837797
  NPD tax ID
• 2001 Vision Center PC

  • Optometrist
  • Memphis, TN
  • NPI 1134282163
  NPD tax ID
• 2001 Vision Center PC

  • Optometrist
  • Memphis, TN
  • NPI 1346392347
  NPD tax ID

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1578615571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 ELVIS PRESLEY BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38116",
            "telephone_number": "901-396-2001",
            "fax_number": "901-396-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 ELVIS PRESLEY BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38116",
            "telephone_number": "901-396-2001",
            "fax_number": "901-396-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2001 VISION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "901-363-2001"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008443",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q014312",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841373727",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008437",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407860679",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104206622",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3595608",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 180 Medical, Inc.
• 1Tyme Transportation Services
• 2001 Vision Center
• 2001 Vision Center PC
• 2001 Vision Center PC
• 42 Transportation Corp
• 5 Star Medical Inc
• 901 Express Transportation
• 901 Health & Wellness Clinic PLLC
• 901 Health, PLLC

• 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 Aug 14, 2015; 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.