WELL CHILD OF MISSISSIPPI (NPI# 1457793259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457793259 |
| Entity Type | Organization |
| Organization Name | WELL CHILD OF MISSISSIPPI |
| Other Organization Name | WELL CHILD |
| Practice Address |
1785 Nonconnah Blvd Suite 120 Memphis TN 38132-2104 |
| Practice Telephone | 9017285858 |
| Practice Fax Number | 9015316312 |
| Mailing Telephone | 9017285858 |
| Mailing Fax Number | 9015316312 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |
| Authorized Official Name | MS. KAREN J. PEASE (CEO) |
| Authorized Official Telephone | 9017285858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Well Child | Doing Business As Name - Organization |
| Street Address |
1785 NONCONNAH BLVD SUITE 120 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38132-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992799787 | A1 Diabetes & Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1785 Nonconnah Blvd, Suite 110, Memphis, TN 38132-2104 | 2005-09-07 |
| 1609278829 | Physiotherapy Associates Inc | Clinic/Center | 1785 Nonconnah Blvd, Memphis, TN 38132-2104 | 2014-09-18 |
| 1396087417 | Canyon Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1785 Nonconnah Blvd, Suite 107, Memphis, TN 38132-2104 | 2013-03-27 |
| 1326140237 | Marlah H Mardis | Family Medicine | 1785 Nonconnah Blvd, #120, Memphis, TN 38132-2104 | 2006-09-01 |
| 1265534184 | Lloyd E Robinson | Family Medicine | 1785 Nonconnah Blvd, #120, Memphis, TN 38132-2104 | 2006-09-01 |
| 1144265034 | Robinson & Associates PC | Family Medicine | 1785 Nonconnah Blvd, #120, Memphis, TN 38132-2102 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386163707 | Casey Provo | Dietitian, Registered | 1689 Nonconnah Blvd., Memphis, TN 38132 | 2017-09-18 |
| 1164802195 | Cynthia Luaune Poole | Social Worker | 2606 Corporate Dr, Memphis, TN 38132 | 2015-06-04 |
| 1033375753 | Concentra Health Services, Inc. | Clinic/Center | 2831 Airways Blvd., Bldg. A, Suite 102, Memphis, TN 38132 | 2008-08-01 |
| 1063406676 | The Synergy Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2305 Airport Interchange Avenue, Memphis, TN 38132 | 2005-09-09 |
| 1932488129 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2831 Airways Blvd, Bldg A, Ste 102, Memphis, TN 38132 | 2011-08-05 |
| 1699181461 | Stacy Triplett | Counselor | 2305 Airport Interchange Ave, Memphis, TN 38132-1002 | 2014-07-01 |
| 1174852164 | Delois Roberson | Dentist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2009-12-22 |
| 1801380985 | Javier Jackson | Physical Therapist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2018-06-21 |
| 1326499252 | Joshua Mock | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2016-06-22 |
| 1295112720 | Michelle Frulla | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2015-05-05 |
| Find all providers in zip 38132 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1265057350 | Rebecca Weisbrot | Optometrist | 1715 Kirby Pkwy Ste 101, Memphis, TN 38120-4320 | 2020-06-15 |
| 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 |
| 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.