MOBILE DIAGNOSTIC EYECARE NPI 1871783274

NPI Information

NPI: 1871783274
Provider Name: MOBILE DIAGNOSTIC EYECARE

Other Name: DIAGNOSTIC EYECARE

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2750 MOUNT MORIAH PKWY
MEMPHIS, TN
ZIP 38115
Phone: (901) 766-6742
Get Directions

MOBILE DIAGNOSTIC EYECARE is an eyewear supplier in Memphis, TN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MOBILE DIAGNOSTIC EYECARE NPI is 1871783274. The provider is registered as an organization entity type.
The provider Other Name Is Diagnostic Eyecare.

The provider's business location address is:

2750 MOUNT MORIAH PKWY
MEMPHIS, TN
ZIP 38115-063
Phone: (901) 766-6742
Fax: (901) 766-6743

The provider's authorized official is Donna Marie Hastings .
The authorized official title is Licensed Optician/ceo and has the following contact phone number (901) 766-6742.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 8/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305R00000X	Preferred Provider Organization		962	TENNESSEE	No
2	156FX1800X	Technician/Technologist	Optician	962	TENNESSEE	No
3	302F00000X	Exclusive Provider Organization		962	TENNESSEE	No
4	332H00000X	Eyewear Supplier		962	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4058078	OTHER	TENNESSEE	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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