REBECCA WEISBROT


Address: 1715 Kirby Pkwy Ste 101, Memphis, TN 38120-4320
Phone: 9017543937

REBECCA WEISBROT (NPI# 1265057350) 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) 1265057350
Entity Type Individual
Full Name REBECCA WEISBROT
Credential OD
Practice Address 1715 Kirby Pkwy Ste 101
Memphis
TN 38120-4320
Mailing Address 3964 Goodman Rd E Ste 125
Southaven
MS 38672-6494
Practice Telephone 9017543937
Mailing Telephone 6628907361
Enumeration Date 2020-06-15
Last Update Date 2020-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist 1010 MS Eye and Vision Services Providers
Y 152W00000X Optometrist 3592 TN Eye and Vision Services Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3964 Goodman Rd E Ste 125, Southaven, MS 386726494 6628907361

Office Location

Street Address 1715 KIRBY PKWY STE 101
City MEMPHIS
State TN
Zip Code 38120-4320

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NPI Name Taxonomy Address Enumeration
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1841676152 Jody Lavaun Clements Dentist 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2015-08-10
1578957122 Christina Lumpkin Nurse Practitioner 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 2015-03-21
1316352099 Daniel Poor Emergency Medicine Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 2014-06-21
1245643246 Kysha Saleem Nurse Practitioner 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 2014-06-06
1376962613 John Christopher Swearingen Dentist 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2014-04-15
1275884645 Rebecca Leigh Goedecke Nurse Practitioner 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 2012-09-26
1730475179 Sarah Elizabeth Hammond Surgery Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 2011-06-23
1922302785 Daniel L Hester Nurse Anesthetist, Certified Registered 1755 Kirby Parkway Suite 330, Memphis, TN 38120 2011-01-07
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1780143123 Myeyedr Optometry of Tennessee, LLC Optometrist 3295 Poplar Ave Ste 107, Memphis, TN 38111-4690 2019-03-15
1013476456 Myeyedr Optometry of Tennessee, LLC Optometrist 7825 Winchester Rd Ste 117, Memphis, TN 38125-2365 2019-03-15
1235623919 Ashlyn Maranne Norsworthy Optometrist 5847 Poplar Ave Ste 105, Memphis, TN 38119-3949 2018-06-18
1215459086 Catherine Hogan Optometrist 1410 River Bridge Cir Apt 202, Memphis, TN 38103-7915 2017-07-12
1194245712 Cameron Waters Clinard Optometrist 127 Isle Creek Dr, Memphis, TN 38103 2017-06-24
1891225736 April Chiu Optometrist 1689 Nonconnah Blvd Ste 120, Memphis, TN 38132-2111 2017-06-14
1821531252 Angela Milam Optometrist 130 Colegrove St, Memphis, TN 38120-2013 2016-12-03
1083066963 Daniel Brigham Optometrist 247 Buntyn St, Memphis, TN 38111-1619 2016-07-05
1144690827 Seth Salley Enterprises, LLC Optometrist 618 Oakleaf Office Ln, Suite 100, Memphis, TN 38117-4825 2015-10-06
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Competitor

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City MEMPHIS
Zip Code 38120

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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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