JARED THOMAS POWELSON (NPI# 1992798185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992798185 |
| Entity Type | Individual |
| Full Name | JARED THOMAS POWELSON |
| Credential | OD |
| Practice Address |
1225 Madison Ave Memphis TN 38104-2211 |
| Mailing Address |
1245 Madison Ave Memphis TN 38104-2211 |
| Practice Telephone | 9017223250 |
| Practice Fax Number | 9017223347 |
| Mailing Telephone | 9017223250 |
| Mailing Fax Number | 9017223347 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2010-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1747 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3940686 | 05 | |
| TN | OD | 1747 | 01 |
| DEA | MP0312304 | 01 |
| Street Address |
1225 MADISON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869009 | Patricia Cisarik | Optometrist | 1225 Madison Ave, Memphis, TN 38104-2211 | 2005-05-27 |
| 1760096788 | Torrie Marie Garner | Optometrist | 1225 Madison Ave, Memphis, TN 38104-2211 | 2020-09-08 |
| 1639788961 | Brandee Nelson | Optometrist | 1225 Madison Ave, Memphis, TN 38104-2211 | 2020-07-22 |
| 1184249013 | Chawan Rasheed | Optometrist | 1225 Madison Ave, Memphis, TN 38104-2211 | 2020-06-16 |
| 1508486762 | Melissa Pongratz | Optometrist | 1225 Madison Ave, Memphis, TN 38104-2211 | 2020-04-17 |
| 1144882952 | Stephanie Mcmillen | Optometrist | 1225 Madison Ave, Memphis, TN 38104-2211 | 2019-07-01 |
| 1629557293 | Andrea Win-lim Yee | Optometrist | 1225 Madison Ave, Memphis, TN 38104-2211 | 2018-08-14 |
| 1063931723 | Sari Rachel Schwartz | Optometrist | 1225 Madison Ave, Memphis, TN 38104-2211 | 2017-09-13 |
| 1447779301 | Desiree Vanderstar | Optometrist | 1225 Madison Ave, Memphis, TN 38104-2211 | 2017-09-12 |
| 1033662580 | Jennyffer Smith | Optometrist | 1225 Madison Ave, Memphis, TN 38104-2211 | 2016-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| 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.