MEDICARE: JOHN LINDSEY OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3502	TN

General Provider Information

NPI Number	:	1295204907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN LINDSEY OD

Provider Business Mailing Address
First Line	:	422 S GREER ST
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38111-3308
Country	:	US
Telephone Number	:	931-302-9858
Fax Number	:

Provider Business Practice Location Address
First Line	:	3142 THOMAS ST
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38127-6003
Country	:	US
Telephone Number	:	901-353-6222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2018
Last Update Date	:	11/26/2018

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