Mid-South Retina Associates, Llc
LBN: Mid-South Retina Associates, Llc
Mid-South Retina Associates, Llc is an health care organization with primary practice located at 6005 Park Ave Suite 624B, Memphis TN 38119-5202. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Mid-South Retina Associates, Llc can be contacted via phone (901) 682-1100, or through Sievers, Richard Ervin via phone (901) 682-1100.
Contact Information
Primary practice address
6005 Park Ave Suite 624B
Memphis TN 38119-5202
Phone: (901) 682-1100
Fax: (901) 682-6915
Website:
Authorized official contact:
Name: Sievers, Richard Ervin Doctor of Medicine (MD)
Phone: (901) 682-1100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1215963350 |
|---|---|
| LBN Legal business name | Mid-South Retina Associates, Llc |
| DBA Doing business as | |
| Authorized official | Sievers, Richard Ervin Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jan 28th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215963350 | NPPES |
| Tennessee | Other | 4067262 | BLUE CROSS OF TENNESSEE |
| Tennessee | MEDICAID | 3387047 | BLUE CROSS OF TENNESSEE |
| Tennessee | Other | 3104352 | BLUE CROSS OF TENNESSEE |
| Tennessee | Other | 0053763 | BLUE CROSS OF TENNESSEE |
| Tennessee | Other | 3066300 | BLUE CROSS OF TENNESSEE |
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