Individual provider Active NPI

Courtney Burrell Kessler, O.D.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1598052383
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2985 Issued in TN
Practice address
2760 N Germantown Pkwy
Memphis, TN 38133-8153
Phone
(901) 384-9259
NPI assigned
Jun 30, 2011
Last updated
Jan 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2985 TN Primary

Addresses

Primary practice location

2760 N Germantown Pkwy
Memphis, TN 38133-8153

Mailing address

2894 Honey Tree Dr
Germantown, TN 38138-7218
Phone (901) 488-5173

Other names 1

  • Dr. Courtney M Burrell Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110824000420 TN Practitioner - Optometry 4284804501 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1919SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mark Lynn & Associates, PLLC Optometrist CurrentSince Dec 9, 2011 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Dec 9, 2011 Accepting new patients
Dr Richard C. Buck OD PC Optometrist CurrentSince Jul 10, 2017 Accepting new patients
Visionworks, Inc Past Accepting new patients
Christopher Andrew Clarke Optometrist PastSince Jul 1, 1990 Accepting new patients

Locations

1701 Gallatin Pike N
Madison, TN 37115
Phone (615) 868-2000

2760 N Germantown Pkwy
Memphis, TN 38133
Phone (901) 276-3538

2825 N Germantown Pkwy
Ste 103
Memphis, TN 38133
Phone (901) 381-1522

7706 Winchester Rd
Ste 105
Memphis, TN 38125
Phone (901) 752-1551

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1598052383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2894 HONEY TREE DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387218",
            "telephone_number": "901-488-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 N GERMANTOWN PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338153",
            "telephone_number": "901-384-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "COURTNEY",
        "middle_name": "BURRELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "BURRELL",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.