Southern College of Optometry

NPI #1518309202 in Memphis, Tennessee

Provider Information

NPI Number: 1518309202
Entity Type: Organization
Organization Name: Southern College of Optometry
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHERN COLLEGE OF OPTOMETRY
Primary Specialty: Optometrist
Enumeration Date: Jul 23, 2013
Last Updated: Jun 2, 2021

Practice Location

Address: 212 RAWLINS SERVICE CT
Address 2: ROOM 201
City: Memphis
State: Tennessee
ZIP Code: 38152-0001
Phone: (901) 722-3250

Authorized Official

Name: JAMES VENABLE, OD
Title: VP OF CLINICAL OPERATIONS
Phone: (901) 722-3324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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