EAST MEMPHIS OPTOMETRY PROFESSIONAL ASSOCIATION (NPI# 1659559490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659559490 |
| Entity Type | Organization |
| Organization Name | EAST MEMPHIS OPTOMETRY PROFESSIONAL ASSOCIATION |
| Other Organization Name | LANDON J WALLACE OD |
| Practice Address |
5118 Park Ave Suite101 Memphis TN 38117 |
| Mailing Address |
5118 Park Ave Suite101 Memphis TN 38117-5720 |
| Practice Telephone | 9016834529 |
| Practice Fax Number | 9017674404 |
| Mailing Telephone | 9016834529 |
| Mailing Fax Number | 9017674404 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | DR. LANDON J WALLACE (PRESIDENT) |
| Authorized Official Telephone | 9016834529 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1639481906 | 01 |
| Other Name | Type Code |
|---|---|
| JOHN T. LEE, OD, PA | Former Legal Business Name - Organization |
| Landon J Wallace OD | Doing Business As Name - Organization |
| Street Address |
5118 PARK AVE SUITE101 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859853 | John T Lee | Optometrist | 5118 Park Ave, Ste 101, Memphis, TN 38117-5710 | 2005-05-31 |
| 1235587957 | Megan Brack | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2016-06-03 |
| 1811380702 | Memphis Hand Center, Inc | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117 | 2015-03-17 |
| 1083019434 | Stephanie Labrador Chin | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2014-10-28 |
| 1114334414 | David Parker Gregory | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2014-07-18 |
| 1841633146 | Melissa Sitton Faires | Occupational Therapist | 5118 Park Ave, Ste 610, Memphis, TN 38117-5720 | 2013-04-17 |
| 1396188678 | Kalen Davis | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2013-04-16 |
| 1497023345 | Ariane P Arnold | Counselor | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-12-07 |
| 1811264823 | Elizabeth Shelton Hayes | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-11-18 |
| 1467729681 | Candace Grove | Social Worker | 5118 Park Ave, Suite 500, Memphis, TN 38117-5720 | 2011-11-17 |
| Find all providers in the same location | ||||
| 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 | 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.