Active NPI
John Michael Neal, OD
- Optometrist
- Memphis, TN
National Provider Identifier
1699930263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2756
- Practice address
- 1225 Madison Ave
Memphis, TN 38104-2211 - Phone
- (901) 722-3250
- Fax
- (901) 722-3347
- NPI assigned
- Jul 23, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 2756 | TN | Primary |
Addresses
Primary practice location
1225 Madison Ave
Memphis, TN 38104-2211
Mailing address
1245 Madison Ave
Memphis, TN 38104-2211
Phone (901) 722-3250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2756 | Other | TN | OD |
| 1506558 | Medicaid | TN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2756 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1699930263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042211",
"telephone_number": "901-722-3250",
"fax_number": "901-722-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042211",
"telephone_number": "901-722-3250",
"fax_number": "901-722-3347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OD",
"identifier": "2756",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1506558",
"state": "TN"
}
],
"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 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.