Active NPI
Elina Kolesnikov Davidoff, OD
- Optometrist
- Memphis, TN
National Provider Identifier
1801065743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2793
- Practice address
- 6485 Poplar Ave
Memphis, TN 38119-4838 - Phone
- (901) 767-3937
- Fax
- (901) 767-3048
- NPI assigned
- Feb 25, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2793 | TN | Primary |
Addresses
Primary practice location
6485 Poplar Ave
Memphis, TN 38119-4838
Mailing address
6485 Poplar Ave
Memphis, TN 38119-4838
Phone (901) 767-3937
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2897 | CO | MD | Physical Therapist |
| 2793 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1801065743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6485 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194838",
"telephone_number": "901-767-3937",
"fax_number": "901-767-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6485 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194838",
"telephone_number": "901-767-3937",
"fax_number": "901-767-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDOFF",
"first_name": "ELINA",
"middle_name": "KOLESNIKOV",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2793",
"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 Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.