Vitreoretinal Foundation

LBN: Vrf Eye Specialty Group, Plc
Vitreoretinal Foundation is an health care organization with primary practice located at 825 Ridge Lake Blvd , Memphis TN 38120-9411. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Vrf Eye Specialty Group, Plc can be contacted via phone (901) 685-2200, or through Gollamudi, Subba via phone (901) 685-2200.

Contact Information

Primary practice address
825 Ridge Lake Blvd Memphis TN 38120-9411
Phone: (901) 685-2200
Fax: (901) 820-2342
Website:
Map and Directions
Authorized official contact:
Name: Gollamudi, Subba Doctor of Medicine (MD)
Phone: (901) 685-2200

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X

Profile Details

NPI number 1699729806
LBN Legal business name Vrf Eye Specialty Group, Plc
DBA Doing business as Vitreoretinal Foundation
Authorized official Gollamudi, Subba Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated May 19th, 2020 - about 6 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 1699729806 NPPES
Mississippi MEDICAID 09015167
Mississippi MEDICAID 127952002
Mississippi MEDICAID 3383289
Mississippi MEDICAID 506916204

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