Organization Active NPI

Duncan Eye PLLC

  • Ophthalmology Physician
  • Memphis, TN
National Provider Identifier
1609185891
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
41096 Issued in TN
Legal business name
DUNCAN EYE PLLC
Practice address
653 S Willett St
Memphis, TN 38104-4932
Phone
(901) 486-8662
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Dr. Kristen Duncan, MDNPI 1235140120
Title
Managing Member
Phone
(901) 486-8662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 41096 TN Primary

Addresses

Primary practice location

653 S Willett St
Memphis, TN 38104-4932

Mailing address

653 S Willett St
Memphis, TN 38104-4932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110106000401 TN Part B Supplier - Clinic/Group Practice 8022207026 Receives reassigned benefits from 2 practitioners
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

6363 Poplar Ave
Ste 101
Memphis, TN 38119
Phone (901) 486-8663

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1609185891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 S WILLETT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 S WILLETT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044932",
            "telephone_number": "901-486-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCAN EYE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "901-486-8662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "41096",
            "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 Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.