NPIMap

Organization Active NPI

Eyecare Center of Memphis, Inc.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1730309675
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1350 Issued in TN
Legal business name
EYECARE CENTER OF MEMPHIS, INC.
Practice address
2705 Appling Rd
Suite 102
Memphis, TN 38133-5082
Phone
(901) 266-7189
Fax
(901) 382-8994
NPI assigned
Apr 25, 2007
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. David William Moss, O.D.NPI 1376587436
Title
Owner
Phone
(901) 266-7189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1350 TN Primary

Addresses

Primary practice location

2705 Appling Rd
Suite 102
Memphis, TN 38133-5082

Mailing address

2705 Appling Rd
Suite 102
Memphis, TN 38133-5082
Phone (901) 266-7189

Other identifiers 6

IdentifierTypeStateIssuer
1350OtherTNMOSS LICENSE
4381781MedicaidTN
1142OtherTNRAMOS LICENSE
1861500175OtherTNRAMOS NPI
1376587436OtherTNMOSS NPI
3596890MedicaidTN

National Provider Directory

National Provider Directory

Locations

2705 Appling Rd
Ste 102
Memphis, TN 38133
Phone (901) 266-7189

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1730309675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 APPLING RD",
            "address_2": "SUITE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381335082",
            "telephone_number": "901-266-7189",
            "fax_number": "901-382-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 APPLING RD",
            "address_2": "SUITE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381335082",
            "telephone_number": "901-266-7189",
            "fax_number": "901-382-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE CENTER OF MEMPHIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-266-7189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOSS LICENSE",
            "identifier": "1350",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4381781",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAMOS LICENSE",
            "identifier": "1142",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAMOS NPI",
            "identifier": "1861500175",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOSS NPI",
            "identifier": "1376587436",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3596890",
            "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 Aug 13, 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.