Memphis Optical Dispensary Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MEMPHIS OPTICAL DISPENSARY INC

Practice address

4697 Poplar Ave
Memphis, TN 38117

Phone

(901) 683-8226

Fax

(901) 683-3441

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Walter William Stafeil

Title

President

Phone

(901) 683-8226

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Amanda Hale Cox, O.D.

  • Optometrist
  • Memphis, TN
  • NPI 1609071810
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1710055280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4697 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38117",
            "telephone_number": "901-683-8226",
            "fax_number": "901-683-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4697 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38117",
            "telephone_number": "901-683-8226",
            "fax_number": "901-683-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS OPTICAL DISPENSARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "STAFEIL",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-683-8226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memphis Neuro Rehabilitation Clinic, LLC
• Memphis Nutrition Group, LLC
• Memphis Obstetrics and Gynecology P.C.
• Memphis Opco, LLC
• Memphis Operator LLC
• Memphis Orthopaedic Group PC
• Memphis Orthopaedic Medical Supplies,LLC.
• Memphis Pain Management Group, PC
• Memphis Pathology Group PC
• Memphis Pathology Laboratory

• 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 Feb 12, 2008; 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.