Organization Active NPI

Silicone Ocular

  • Clinical Medical Laboratory
  • Memphis, TN
National Provider Identifier
1770622177
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Sep 17, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1455253MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.