Midtown Eye Care

LBN: Midtown Eye Care Pllc
Midtown Eye Care is an health care organization with primary practice located at 1378 Union Ave , Memphis TN 38104-3623. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Midtown Eye Care Pllc can be contacted via phone (901) 725-3937, or through Powelson, Jared Thomas via phone (901) 725-3937.

Contact Information

Primary practice address
1378 Union Ave Memphis TN 38104-3623
Fax: (901) 274-2342
Website:
Authorized official contact:
Name: Powelson, Jared Thomas Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T1747 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X 679 Mississippi
Eye and Vision Services Providers / Optometrist 152W00000X TPA94195 Mississippi

Profile Details

NPI number 1508855859
LBN Legal business name Midtown Eye Care Pllc
DBA Doing business as Midtown Eye Care
Authorized official Powelson, Jared Thomas Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated May 3rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508855859 NPPES
Tennessee MEDICAID 3717192

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