Diagnostic Eyecare

LBN: Mobile Diagnostic Eyecare
Diagnostic Eyecare is an health care organization with primary practice located at 2750 Mount Moriah Pkwy , Memphis TN 38115-2063. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Preferred Provider Organization, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Mobile Diagnostic Eyecare can be contacted via phone (901) 766-6742, or through Hastings, Donna Marie via phone (901) 766-6742.

Contact Information

Primary practice address
2750 Mount Moriah Pkwy Memphis TN 38115-2063
Phone: (901) 766-6742
Fax: (901) 766-6743
Website:
Map and Directions
Authorized official contact:
Name: Hastings, Donna Marie DPO
Phone: (901) 766-6742

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 962 Tennessee
Managed Care Organizations / Exclusive Provider Organization 302F00000X 962 Tennessee
Managed Care Organizations / Preferred Provider Organization 305R00000X 962 Tennessee
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 962 Tennessee

Profile Details

NPI number 1871783274
LBN Legal business name Mobile Diagnostic Eyecare
DBA Doing business as Diagnostic Eyecare
Authorized official Hastings, Donna Marie DPO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2007
Last updated Aug 8th, 2014 - about 11 years ago

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 1871783274 NPPES
Tennessee Other 4058078 BCBS

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