NPI 1376576884

Desoto Eyecare INC

Organisation Exclusive Provider Organization Southaven, MS

Practice location

Address: 726 Goodman Rd E STE B, Southaven, MS 38671-9530
Phone: (662) 349-1959
Fax: (662) 349-0424

Authorised official

Name: Alan R Schaeffer
Title: MD Owner
Phone: (662) 349-1959

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 14992 (MS)

Other Exclusive Provider Organization providers in Mississippi →

Registry record

NPI: 1376576884
Entity type: Organization
NPI issued: 8 Jul 2006
Record last updated: 19 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.