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Physician Compare National (NPI:1609869866)

HEALTHCARE PROVIDER: LEROY NORTON JR. OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1609869866
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1153440201
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101027000205
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name NORTON
Individual professional last name
Provider First Name LEROY
Individual professional first name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 1987
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 4557 MILLBRANCH RD
Group Practice or individual's line 1 address
City MEMPHIS
Group Practice or individual's city
State TN
Group Practice or individual's state
Zip Code 381167437
Group Practice or individual's zip code (9 digits when available)
Phone Number 9013468222
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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