MEDICARE: DR. JESSICA ARMSTRONG O.D.

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	1022	MS
2	152W00000X	Optometrist	2991	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336436344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA ARMSTRONG O.D.

Provider Business Mailing Address
First Line	:	PO BOX 1798
Second Line	:	DEPT 07-004
City	:	MEMPHIS
State	:	TN
Zip	:	38101-1798
Country	:	US
Telephone Number	:	901-683-7255
Fax Number	:	901-683-3523

Provider Business Practice Location Address
First Line	:	6465 N QUAIL HOLLOW RD STE 100
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-1448
Country	:	US
Telephone Number	:	901-683-7255
Fax Number	:	901-683-3523

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

Provider Enumeration Date	:	06/29/2011
Last Update Date	:	04/13/2021

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