Healthcare Provider Details

I. General information

NPI: 1790727626
Provider Name (Legal Business Name): SETH L YOSER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 W POPLAR AVE STE 112
COLLIERVILLE TN
38017-2687
US

IV. Provider business mailing address

2553 WOODHURST CV
GERMANTOWN TN
38139-6825
US

V. Phone/Fax

Practice location:
  • Phone: 901-850-0811
  • Fax: 901-850-0097
Mailing address:
  • Phone: 901-871-2373
  • Fax: 901-432-9070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number14348
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD0000025588
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: