Dr. Richard Alsobrook Vision Center PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1002 Issued in TN

Legal business name

DR. RICHARD ALSOBROOK VISION CENTER PC

Doing business as

Alsobrook Vision Center

Practice address

7730 Wolf River Blvd
#101
Germantown, TN 38138-1708

Phone

(901) 756-7002

Fax

(901) 888-0026

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Tina Cagle

Title

Business Manager

Phone

(901) 756-7002

Specialties & licenses 1

Addresses

Other names 1

• Alsobrook Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Alan Alsobrook, O.D.

  • Optometrist
  • Germantown, TN
  • NPI 1679652853
  Medicare reassignment NPD

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1811172885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD",
            "address_2": "#101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381708",
            "telephone_number": "901-756-7002",
            "fax_number": "901-888-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD",
            "address_2": "#101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381708",
            "telephone_number": "901-756-7002",
            "fax_number": "901-888-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICHARD ALSOBROOK VISION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "CAGLE",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "901-756-7002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alsobrook Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Houston Dove, MD
• Ashley Dowdy, PA-C
• Carlos L Dowell, ATC
• Sarah Downen, OTR/L
• Jenny L Doza, PT
• Erin Dragutsky, RD, LDN
• Michael S Dragutsky, M.D.
• Makensie Rae Dudley, OTR/L
• Douglas B Dugard, DDS
• Vijaya L. Duggirala, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.