Individual
DESIRAE BRINKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9411
(901) 685-2200
(901) 820-2342
Mailing address
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9411
(901) 685-2200
(901) 820-2342
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3298
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06772824
—
MS
05
—
217042722
—
AR
05
—
Q025091
—
TN
Enumeration date
08/05/2016
Last updated
07/25/2022
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