Individual provider Active NPI

Emily Detsch, OD

  • Optometrist
  • Germantown, TN
National Provider Identifier
1750801866
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3919 Issued in TN
Practice address
2075 Exeter Rd
Germantown, TN 38138-3962
Phone
(901) 754-2020
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003016 GA
Optometrist 152W00000X 3919 TN Primary

Addresses

Primary practice location

2075 Exeter Rd
Germantown, TN 38138-3962

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113001371 TN Practitioner - Optometry 9830464130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.27 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3919TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Nov 25, 2024 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Nov 25, 2024 Accepting new patients

Locations

2817 Bartlett Blvd
Bartlett, TN 38134
Phone (901) 371-0770

629 Market St
Ste 115
Chattanooga, TN 37402
Phone (423) 265-4306

472 W Poplar Ave
Ste 102
Collierville, TN 38017
Phone (901) 329-8055

1605 N Germantown Pkwy
Ste 101
Cordova, TN 38016
Phone (901) 379-2021

2075 Exeter Rd
Ste 70
Germantown, TN 38138
Phone (901) 754-2020

6150 Poplar Ave
Ste 115
Memphis, TN 38119
Phone (901) 682-3937

857 Mount Moriah Rd
Memphis, TN 38117
Phone (901) 767-7024

7825 Winchester Rd
Ste 117
Memphis, TN 38125
Phone (901) 365-9732

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1750801866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 EXETER RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383962",
            "telephone_number": "901-754-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETSCH",
        "first_name": "EMILY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003016",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.