Square Eyecare, PLLC.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SQUARE EYECARE, PLLC.

Practice address

50 N Main St Ste 102
Collierville, TN 38017-2605

Phone

(901) 603-5124

Fax

(901) 751-2399

NPI assigned

Apr 8, 2021

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Charles Haba, ODNPI 1720500218

Title

Optometrist/Owner

Phone

(901) 603-5124

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 6

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.

• David C. Haba, OD

  • Optometrist
  • Germantown, TN
  • NPI 1720500218
  Medicare reassignment Care Compare group NPD Authorized official
• Jenny Hester Duncan, O.D.

  • Optometrist
  • Memphis, TN
  • NPI 1497019756
  Medicare reassignment Care Compare group NPD
• Alice Hanson

  • Optometrist
  • Germantown, TN
  • NPI 1447944335
  Medicare reassignment Care Compare group NPD
• Paul Darwin Mormon, OD

  • Optometrist
  • Germantown, TN
  • NPI 1699768887
  Medicare reassignment Care Compare group NPD
• Aubrey L Long, OD

  • Optometrist
  • Germantown, TN
  • NPI 1073175329
  Medicare reassignment NPD
• Ty Smith, OD

  • Optometrist
  • Collierville, TN
  • NPI 1992282529
  Medicare reassignment NPD

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1770163305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N MAIN ST STE 102",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172605",
            "telephone_number": "901-603-5124",
            "fax_number": "901-751-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MAIN ST STE 102",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172605",
            "telephone_number": "901-603-5124",
            "fax_number": "901-751-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE EYECARE, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "HABA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "901-603-5124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech Garden, LLC
• Jason Bradley Spencer, M.D.
• Emily Srisarajivakul
• Shailja Twinkle Srivastava, PHYSICAL THERAPIST
• Henry Baines Stamps, MD
• Kimberly Jordan Stark, M.S.,CCC-SLP
• April Stegall, AU.D.

• Optometrist in Collierville, TN
• Providers in Collierville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.