Organization
2001 VISION CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY B ROGERS (CORPORATE SECRETARY)
(901) 363-2001
Entity
Organization
Contact information
Practice address
3142 THOMAS ST, MEMPHIS, TN 38127-6003
(901) 353-6222
(901) 353-3688
Mailing address
3142 THOMAS ST, MEMPHIS, TN 38127-6003
(901) 353-6222
(901) 353-3688
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TN0757
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104206622
NPI
TN
01
—
1407860679
NPI
TN
01
—
1841373727
NPI
—
05
—
3023011
—
TN
05
—
3595608
—
TN
05
—
4315257
—
TN
05
—
Q008437
—
TN
05
—
Q008443
—
TN
05
—
Q014312
—
TN
Enumeration date
01/18/2007
Last updated
08/14/2015
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