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NPI Code Detail

MEDICARE: LORIG SILDIRYAN OD

MEDICARE:   LORIG  SILDIRYAN  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
1152W00000XOptometristOEG003347PA
2152W00000XOptometrist3487TN

Other Identifiers

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

General Provider Information

NPI Number : 1376062729
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORIG SILDIRYAN OD
Provider Business Mailing Address
First Line : 930 MADISON AVE STE 400
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-7400
Country : US
Telephone Number : 901-287-7337
Fax Number :
Provider Business Practice Location Address
First Line : 930 MADISON AVE STE 400
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-7400
Country : US
Telephone Number : 901-287-7337
Fax Number : 901-448-1813
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2017
Last Update Date : 11/10/2020

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Directions to “ LORIG SILDIRYAN OD” Practice Location

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