MELISSA BROADDUS (NPI# 1376977439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376977439 |
| Entity Type | Individual |
| Full Name | MELISSA BROADDUS |
| Credential | O.D. |
| Practice Address |
2070 Whitney Ave Memphis TN 38127-9014 |
| Practice Telephone | 9013570371 |
| Mailing Telephone | 9013570371 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3117 | TN | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730438383 | Melissa Ann Broaddus | Social Worker | 11507 S Locust Ave, Jenks, OK 74037-2174 | 2012-08-29 |
| Street Address |
2070 WHITNEY AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38127-9014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982697058 | David Keith Talley | Optometrist | 2070 Whitney Ave, Memphis, TN 38127-9014 | 2005-08-24 |
| 1558423962 | West Tennessee Eye, Plc | Optometrist | 2070 Whitney Ave, Memphis, TN 38127-9014 | 2006-12-14 |
| 1770529125 | Christopher H Cooper | Optometrist | 2070 Whitney Ave, Memphis, TN 38127-9014 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
| 1891060570 | Phylantyniese Lashunda Stone | Non-emergency Medical Transport (VAN) | 2790 N. Watkins, Memphis, TN 38127 | 2012-03-14 |
| 1982916326 | Linda Faye Johnson | Pharmacist | 2655 Frayser Blvd., Memphis, TN 38127 | 2010-07-13 |
| 1215171046 | M.g. Services, LLC | Home Health | 3065 Thomas St., Memphis, TN 38127 | 2009-04-23 |
| 1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
| 1467621334 | Cet of Memphis, LLC | Community/Behavioral Health | 2470 Capewood Dr, Memphis, TN 38127 | 2008-02-26 |
| 1912074030 | Medic Transportation, LLC. | Ambulance | 3180 Millington Rd., Memphis, TN 38127 | 2006-11-30 |
| 1609974450 | Walgreen Co. | Pharmacy | 3100 Thomas St., Memphis, TN 38127 | 2006-09-20 |
| 1871541177 | Clarice Weathers Mullinax | Family Medicine | 3124 North Thomas Street, Christ Community Health Services Inc, Memphis, TN 38127 | 2006-05-05 |
| 1295251619 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2670 Frayser Blvd, Memphis, TN 38127 | 2017-08-17 |
| Find all providers in zip 38127 | ||||
| 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.