PROFESSIONAL EYECARE OPTICAL (NPI# 1225238181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225238181 |
Entity Type | Organization |
Organization Name | PROFESSIONAL EYECARE OPTICAL |
Other Organization Name | EYEWEAR GALLERY |
Practice Address |
428 Perkins Ext Memphis TN 38117-3802 |
Practice Telephone | 9017632020 |
Practice Fax Number | 9017632219 |
Mailing Telephone | 9017632020 |
Enumeration Date | 2007-07-19 |
Last Update Date | 2018-08-02 |
Authorized Official Name | DR. WARREN S JOHNSON (OWNER) |
Authorized Official Telephone | 9017632020 |
Authorized Official Credential | O.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | ODT968 | TN | Suppliers |
Other Name | Type Code |
---|---|
Eyewear Gallery | Doing Business As Name - Organization |
Street Address |
428 PERKINS EXT |
City | MEMPHIS |
State | TN |
Zip Code | 38117-3802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225000540 | Warren S Johnson | Optometrist | 428 Perkins Ext, Memphis, TN 38117 | 2006-02-02 |
1407114663 | Do Nguyen | Optometrist | 428 Perkins Ext, Memphis, TN 38117 | 2012-04-25 |
1497946016 | Professional Eyecare Optical, Pllc | Optometrist | 428 Perkins Ext, Memphis, TN 38117 | 2007-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
Find all providers in zip 38117 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467075838 | Yolanda S Draine | Durable Medical Equipment & Medical Supplies | 420 Monroe Ave # 1413, Memphis, TN 38103-3252 | 2020-05-20 |
1316566490 | Anointed Crown | Durable Medical Equipment & Medical Supplies | 2696 Central Ter, Memphis, TN 38111-1614 | 2020-04-09 |
1366007593 | Newsome and Associates, Inc | Durable Medical Equipment & Medical Supplies | 3181 Poplar Ave Ste 215, Memphis, TN 38111-3524 | 2019-05-02 |
1154820397 | Advanced Orthopedic Alliance | Durable Medical Equipment & Medical Supplies | 415 S Front St, Memphis, TN 38103-6404 | 2018-02-02 |
1932617750 | Patterson and Associates | Durable Medical Equipment & Medical Supplies | 3181 Poplar Ave Ste 214, Memphis, TN 38111-3524 | 2018-01-15 |
1114442266 | Crowdconomy, LLC | Durable Medical Equipment & Medical Supplies | 7124 Crestridge Rd, Memphis, TN 38119-8706 | 2017-08-10 |
1659893915 | Maymacs, Inc | Durable Medical Equipment & Medical Supplies | 6005 Park Ave Ste 704, Memphis, TN 38119-5217 | 2017-07-08 |
1720509185 | All About Homecare, LLC | Durable Medical Equipment & Medical Supplies | 1320 Jackson Ave, Memphis, TN 38107-4351 | 2017-07-06 |
1598285264 | Alliance Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 1266 Sycamore View Rd Ste 101, Memphis, TN 38134-7664 | 2017-06-23 |
1316496250 | Jimmy Clyce Weatherly Jr. | Durable Medical Equipment & Medical Supplies | 3840 Viscount Ave, Suite 14, Memphis, TN 38118-6023 | 2016-10-03 |
Find all providers in MEMPHIS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.