Active NPI
Ryan Livesay, OD
- Optometrist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3783
- Practice address
- 5959 Poplar Ave
Memphis, TN 38119-3938 - Phone
- (901) 821-5475
- NPI assigned
- Nov 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 3783 | TN | Primary |
Addresses
Primary practice location
5959 Poplar Ave
Memphis, TN 38119-3938
Mailing address
750 N Germantown Pkwy Ste 108
Cordova, TN 38018-2303
Phone (901) 758-9000
Other practice location 1
750 N Germantown Pkwy Ste 108
Cordova, TN 38018-2303
Phone (901) 758-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
428 Perkins Ext
Memphis, TN 38117-3808
Phone (901) 763-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3783 | TN | MD | Pharmacist |
| 37832 | TN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Eyecare Optical, PLLC | Optometrist | Current | Accepting new patients |
| Infocus Eyecare, PLLC | Optometrist | Current | Accepting new patients |
| Professional Eyecare Optical | Current | Accepting new patients | |
| Dr Richard C. Buck OD PC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Past | Accepting new patients |
Locations
750 N Germantown Pkwy
Ste 108
Cordova, TN 38018
Phone (901) 758-9000
2825 N Germantown Pkwy
Ste 103
Memphis, TN 38133
Phone (901) 381-1522
7706 Winchester Rd
Ste 105
Memphis, TN 38125
Phone (901) 752-1551
4562 Poplar Ave
Ste 115
Memphis, TN 38117
Phone (901) 683-1689
428 Perkins Ext
Memphis, TN 38117
Phone (901) 763-2020
5959 Poplar Ave
Memphis, TN 38119
Phone (901) 261-5080
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Memphis, TN
- NPI 1972747475
-
- Optometrist
- Cordova, TN
- NPI 1902145063
-
dba Eyewear Gallery
- Durable Medical Equipment & Medical Supplies
- Memphis, TN
- NPI 1225238181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1871200238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N GERMANTOWN PKWY STE 108",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380182303",
"telephone_number": "901-758-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193938",
"telephone_number": "901-821-5475"
}
],
"practiceLocations": [
{
"address_1": "750 N Germantown Pkwy Ste 108",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380182303",
"country_code": "US",
"telephone_number": "901-758-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIVESAY",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3783",
"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 Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.