Jennett M Doherty Complete Optical

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC325 Issued in TN

Legal business name

JENNETT M DOHERTY COMPLETE OPTICAL

Practice address

6238 Poplar Ave
Memphis, TN 38119-4713

Phone

(901) 761-4292

Fax

(901) 761-7805

NPI assigned

Mar 25, 2008

Last updated

Sep 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennett M Doherty

Title

Owner Licensed Dispensing Optician

Phone

(901) 761-4292

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ralph F Hamilton, M.D.

  • Ophthalmology Physician
  • Columbia, TN
  • NPI 1184663858
  NPD (past)
• William David Irvine, MD

  • Ophthalmology Physician
  • Jackson, TN
  • NPI 1760488498
  NPD (past)
• Thomas Pratt, MD

  • Ophthalmology Physician
  • Memphis, TN
  • NPI 1487724498
  NPD (past)
• Kevin Eric Rice, MD

  • Ophthalmology Physician
  • La Habra, CA
  • NPI 1992729859
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1902078520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6238 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194713",
            "telephone_number": "901-761-4292",
            "fax_number": "901-761-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194713",
            "telephone_number": "901-761-4292",
            "fax_number": "901-761-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNETT M DOHERTY COMPLETE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "JENNETT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER LICENSED DISPENSING OPTICIAN",
        "authorized_official_telephone_number": "901-761-4292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OPC325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Williamson Jenkins, M.A.,CCC/SLP
• Syretta Jenkins
• Virginia Jenkins
• Willyn Taylor Jenkins, M.D.
• Anna Elizabeth Jenness, MCD, CCC-SLP
• Barbara Jean Jennings, O.D.
• David K Jennings, MD
• Rebecca Patricia Jennings, M.S., R.D., L.D.N.
• Sharandi Jennings
• Sharonda Jennings

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.