Active NPI
Mary Theresa Victoria Taormina, OD
- Optometrist
- Memphis, TN
National Provider Identifier
1750110540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3892
- Practice address
- 1689 Nonconnah Blvd
Memphis, TN 38132-2105 - Phone
- (724) 433-0863
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1110 | MS | |
| Optometrist | 152W00000X | 3892 | TN | Primary |
Addresses
Primary practice location
1689 Nonconnah Blvd
Memphis, TN 38132-2105
Mailing address
1689 Nonconnah Blvd
Memphis, TN 38132-2105
Phone (724) 433-0863
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3892 | TN | MD | Clinical Social Worker |
| 1110 | MS | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746835200000",
"number": "1750110540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1689 NONCONNAH BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381322105",
"telephone_number": "724-433-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1689 NONCONNAH BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381322105",
"telephone_number": "724-433-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAORMINA",
"first_name": "MARY THERESA",
"middle_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2025-05-10",
"certification_date": "2025-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "1110",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3892",
"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 May 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.