Provider Demographics
NPI:1043271224
Name:MEMPHIS EYE & CATARACT ASSOCIATES PLC
Entity Type:Organization
Organization Name:MEMPHIS EYE & CATARACT ASSOCIATES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-767-3937
Mailing Address - Street 1:6485 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4838
Mailing Address - Country:US
Mailing Address - Phone:901-767-3937
Mailing Address - Fax:901-767-1747
Practice Address - Street 1:6485 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4838
Practice Address - Country:US
Practice Address - Phone:901-767-3937
Practice Address - Fax:901-767-1747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3716405Medicaid
TNCG0614OtherRAILROAD MEDICARE
TN0143390OtherBCBS TN
TN3716405Medicare ID - Type Unspecified