Organization
MIDTOWN EYE CARE PLLC
Active
Other names
Midtown Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED THOMAS POWELSON OD (OWNER)
(901) 725-3937
Entity
Organization
Contact information
Practice address
1378 UNION AVE, MEMPHIS, TN 38104-3623
(901) 725-3937
(901) 274-2342
Mailing address
1378 UNION AVE, MEMPHIS, TN 38104-3623
(901) 725-3937
(901) 274-2342
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
679
MS
152W00000X
Optometrist
Primary
T1747
TN
152W00000X
Optometrist
TPA94195
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3717192
—
TN
Enumeration date
10/19/2005
Last updated
05/03/2023
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