Organization Active NPI

Ultra Eyecare

  • Corneal and Contact Management Optometrist
  • Memphis, TN
National Provider Identifier
1710920475
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
14992 Issued in MS
Legal business name
ULTRA EYECARE
Practice address
3460 Plaza Ave
Memphis, TN 38111-4614
Phone
(901) 458-4475
Fax
(901) 458-9854
NPI assigned
Jun 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alan Schaeffer, MDNPI 1912937574
Title
Owner/Opthalmology
Phone
(901) 458-4475

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
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 14992 MS Primary

Addresses

Primary practice location

3460 Plaza Ave
Memphis, TN 38111-4614

Mailing address

3460 Plaza Ave
Memphis, TN 38111
Phone (901) 458-4475

National Provider Directory

National Provider Directory

Locations

3460 Plaza Ave
Memphis, TN 38111
Phone (901) 458-4475

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710920475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 PLAZA AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38111",
            "telephone_number": "901-458-4475",
            "fax_number": "901-458-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 PLAZA AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114614",
            "telephone_number": "901-458-4475",
            "fax_number": "901-458-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHAEFFER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/OPTHALMOLOGY",
        "authorized_official_telephone_number": "901-458-4475",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MS",
            "license": "14992",
            "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 Aug 22, 2020; 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.