Meade Hammond Kendrick IV, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3675 Issued in TN

Practice address

857 Mount Moriah Rd
Memphis, TN 38117-5301

Phone

(901) 786-3281

NPI assigned

Apr 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cullison Eye CareGroup PAC ID 4284942715, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cullison Eye Care

  • Optometrist
  • Germantown, TN
  • NPI 1578944674
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Tennessee, LLC

  • Optometrist
  • Chattanooga, TN
  • NPI 1619481587
  Medicare reassignment NPD
• Myeyedr Optometry of Tennessee, LLC

  • Optometrist
  • Memphis, TN
  • NPI 1497230130
  NPD
• Myeyedr Optometry of Tennessee, LLC

  • Optometrist
  • Mt Juliet, TN
  • NPI 1588516918
  NPD

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1902488976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 MOUNT MORIAH RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175301",
            "telephone_number": "901-786-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "MEADE",
        "middle_name": "HAMMOND",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben B Kemker, D.C.
• Ashley Sharnelle Kemp
• Gregory Carroll Kemp, D.D.S.
• Jennifer Kemper, PHARM.D.
• Meade H Kendrick III, O.D.
• Vanessa D. Kendrick, AU.D
• Albert Franklin Kennedy, MD
• Alyssa Kennedy
• Bryan Patrick Kennedy, LMSW
• Charlotte L Kennedy, PH.D.

• 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 May 19, 2021; 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.

Verify at the official NPI Registry.