| The Eye Doctor Llc | |
|
1142 Mosby Rd Memphis TN 38116 | |
| (901) 346-4733 | |
| (901) 346-4734 |
| Full Name | The Eye Doctor Llc |
|---|---|
| Speciality | Optometrist |
| Location | 1142 Mosby Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Clint Pike (CEO/PRESIDENT) |
| Authorized Official Contact | 9013464733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Eye Doctor Llc 1142 Mosby Rd Memphis TN 38116 Ph: (901) 346-4733 | The Eye Doctor Llc 1142 Mosby Rd Memphis TN 38116 Ph: (901) 346-4733 |
| NPI Number | 1376793653 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 12/02/2020 |
| Medicare PECOS PAC ID | 1456762921 |
|---|---|
| Medicare Enrollment ID | O20201204002347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376793653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kelly Hoy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437177318 PECOS PAC ID: 5092980466 Enrollment ID: I20111213000796 |
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