Southern College Of Optometry

LBN: Southern College Of Optometry
Southern College Of Optometry is an health care organization with primary practice located at 1225 Madison Ave , Memphis TN 38104-2211. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Southern College Of Optometry can be contacted via phone (901) 722-3250, or through Venable, James E via phone (901) 722-3324.

Contact Information

Primary practice address
1225 Madison Ave Memphis TN 38104-2211
Phone: (901) 722-3250
Fax: (901) 722-3347
Website:
Map and Directions
Authorized official contact:
Name: Venable, James E Doctor of Optometry (OD)
Phone: (901) 722-3324

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1851384986
LBN Legal business name Southern College Of Optometry
DBA Doing business as
Authorized official Venable, James E Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 19th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851384986 NPPES
Tennessee MEDICAID 3517680

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