PROFESSIONAL EYECARE OPTICAL


Address: 428 Perkins Ext, Memphis, TN 38117-3802
Phone: 9017632020

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies ODT968 TN Suppliers

Other Provider/Organization Names

Other Name Type Code
Eyewear Gallery Doing Business As Name - Organization

Office Location

Street Address 428 PERKINS EXT
City MEMPHIS
State TN
Zip Code 38117-3802

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City MEMPHIS
Zip Code 38117

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Dataset Information

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.

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