Organization
EYECARE CENTER OF MEMPHIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WILLIAM MOSS O.D. (OWNER)
(901) 266-7189
Entity
Organization
Contact information
Practice address
2705 APPLING RD, SUITE 102, MEMPHIS, TN 38133-5082
(901) 266-7189
(901) 382-8994
Mailing address
2705 APPLING RD, SUITE 102, MEMPHIS, TN 38133-5082
(901) 266-7189
(901) 382-8994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1350
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1142
RAMOS LICENSE
TN
01
—
1350
MOSS LICENSE
TN
01
—
1376587436
MOSS NPI
TN
01
—
1861500175
RAMOS NPI
TN
05
—
3596890
—
TN
05
—
4381781
—
TN
Enumeration date
04/25/2007
Last updated
08/13/2008
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