Provider Demographics
NPI:1932108859
Name:WRIGHT, HARVEY B JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:B
Last Name:WRIGHT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28066207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3099874Medicaid
TNG06899Medicare UPIN
TN3099874Medicaid