Organization
SOUTHERN COLLEGE OF OPTOMETRY
Active
Parent organization
SOUTHERN COLLEGE OF OPTOMETRY
Other names
University Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN COLLEGE OF OPTOMETRY
Authorized official
JAMES VENABLE OD (VP OF CLINICAL OPERATIONS)
(901) 722-3324
Entity
Organization
Contact information
Practice address
212 RAWLINS SERVICE CT, ROOM 201, MEMPHIS, TN 38152-0001
(901) 722-3250
(901) 722-3347
Mailing address
1245 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3250
(901) 722-3388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1265
TN
Other
Enumeration date
07/23/2013
Last updated
06/02/2021
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