Mobile Diagnostic Eyecare

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

962 Issued in TN

Legal business name

MOBILE DIAGNOSTIC EYECARE

Practice address

2750 Mount Moriah Pkwy
Memphis, TN 38115-2063

Phone

(901) 766-6742

Fax

(901) 766-6743

NPI assigned

Jul 31, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Donna Marie Hastings, DPO

Title

Licensed Optician/Ceo

Phone

(901) 766-6742

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Diagnostic Eyecare Other name

Locations

Practitioners 1

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

• Kelly Jane Hoy, OD

  • Optometrist
  • Memphis, TN
  • NPI 1437177318
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1871783274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 MOUNT MORIAH PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152063",
            "telephone_number": "901-766-6742",
            "fax_number": "901-766-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 MOUNT MORIAH PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152063",
            "telephone_number": "901-766-6742",
            "fax_number": "901-766-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTIC EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED OPTICIAN/CEO",
        "authorized_official_telephone_number": "901-766-6742",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "TN",
            "license": "962",
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TN",
            "license": "962",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": "962",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4058078",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Eyecare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna E Mize, MD
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• Eyewear Supplier in Memphis, TN
• Providers in Memphis, TN by specialty
• Eyewear Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.