Active NPI
Silicone Ocular
- Clinical Medical Laboratory
- Memphis, TN
National Provider Identifier
1770622177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SILICONE OCULAR
- Practice address
- 6 W Ge Patterson Ave
Suite 101
Memphis, TN 38103-6413 - Phone
- (901) 405-4440
- Fax
- (901) 730-0875
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Alan Singer, B.F.A., B.A.
- Title
- President
- Phone
- (901) 405-4440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
6 W Ge Patterson Ave
Suite 101
Memphis, TN 38103-6413
Mailing address
6 W Ge Patterson Ave
Suite 101
Memphis, TN 38103-6413
Phone (901) 405-4440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1455253 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
6 W Ge Patterson Ave
Ste 101
Memphis, TN 38103
Phone (901) 405-4440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347840000000",
"number": "1770622177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 W GE PATTERSON AVE",
"address_2": "SUITE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381036413",
"telephone_number": "901-405-4440",
"fax_number": "901-730-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 W GE PATTERSON AVE",
"address_2": "SUITE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381036413",
"telephone_number": "901-405-4440",
"fax_number": "901-730-0875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILICONE OCULAR",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2012-09-17",
"status": "A",
"authorized_official_last_name": "SINGER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-405-4440",
"authorized_official_credential": "B.F.A., B.A."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1455253",
"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 Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.