MOBILE DIAGNOSTIC EYECARE (NPI# 1871783274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871783274 |
| Entity Type | Organization |
| Organization Name | MOBILE DIAGNOSTIC EYECARE |
| Other Organization Name | DIAGNOSTIC EYECARE |
| Practice Address |
2750 Mount Moriah Pkwy Memphis TN 38115-2063 |
| Practice Telephone | 9017666742 |
| Practice Fax Number | 9017666743 |
| Mailing Telephone | 9017666742 |
| Mailing Fax Number | 9017666743 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2014-08-08 |
| Authorized Official Name | MS. DONNA MARIE HASTINGS (LICENSED OPTICIAN/CEO) |
| Authorized Official Telephone | 9017666742 |
| Authorized Official Credential | DPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305R00000X | Preferred Provider Organization | 962 | TN | Managed Care Organizations |
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
962 | TN | Eye and Vision Services Providers |
| N | 302F00000X | Exclusive Provider Organization | 962 | TN | Managed Care Organizations |
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 962 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 4058078 | 01 |
| Other Name | Type Code |
|---|---|
| Diagnostic Eyecare | Other Name - Individual/Organization |
| Street Address |
2750 MOUNT MORIAH PKWY |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115-2063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437177318 | Kelly Jane Hoy | Optometrist | 2750 Mount Moriah Pkwy, Memphis, TN 38115-2063 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104357524 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 2840 N Germantown Pkwy, Memphis, TN 38133-8149 | 2017-03-27 |
| 1083999163 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 5849 Poplar Ave, Suite 109, Memphis, TN 38119-3949 | 2011-10-20 |
| 1992006159 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 4862 Poplar Avenue, Memphis, TN 38117 | 2010-11-04 |
| 1851446355 | Lenscrafters Inc | Eyewear Supplier (Equipment, not the service) | 6022 Hickory Ridge Mall, Memphis, TN 38115-8803 | 2007-01-24 |
| 1457406993 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3358 Raleigh Springs Mall, Memphis, TN 38128-3803 | 2007-01-24 |
| 1487708418 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2760 N Germantown Pkwy Ste 109, Memphis, TN 38133-8154 | 2007-01-23 |
| 1740350297 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 2760 N Germantown Pkwy, Suite 204, Memphis, TN 38133-8153 | 2006-11-09 |
| 1679656086 | Super D Drugs Acquisition, Co. | Eyewear Supplier (Equipment, not the service) | 5040 Park Ave, Memphis, TN 38117-5709 | 2006-10-23 |
| 1225111636 | Super D Drugs Acquisition, Co. | Eyewear Supplier (Equipment, not the service) | 2145 Union Ave, Memphis, TN 38104-4206 | 2006-10-23 |
| 1851474266 | Super D Drugs Acquisition, Co. | Eyewear Supplier (Equipment, not the service) | 4126 Elvis Presley Blvd, Memphis, TN 38116-5857 | 2006-10-23 |
| 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.