Desoto Eyecare Inc in Southaven - Exclusive Provider Organization

Desoto Eyecare Inc - NPI 1376576884

Desoto Eyecare Inc is a Exclusive Provider Organization in Southaven, Mississippi. Desoto Eyecare Inc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Desoto Eyecare Inc is 1376576884. The last update date is 2012-09-19.

Desoto Eyecare Inc's current location address is 726 Goodman Rd E Ste B, Southaven, Mississippi. You can contact this provider via phone number 6623491959 and fax number 6623490424. The mailing address for Desoto Eyecare Inc is 726 Goodman Rd E Ste B, Southaven, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Desoto Eyecare Inc
Address 726 Goodman Rd E Ste B, Southaven, Mississippi
Phone Number 6623491959
Fax Number 6623490424
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MD OWNER
Authorized Official Name Schaeffer R Alan
Credentials M.D.
Telephone Number 6623491959

NPI Number Detail

NPI Number 1376576884
Provider Enumeration Date 2006-07-08
Last Updated Date 2012-09-19

Provider Mailing Address Detail

Address 726 Goodman Rd E Ste B
City Southaven
State Mississippi (MS)
Post Code 386719530
Phone Number 6623491959
Fax Number 6623490424

Provider's Primary Taxonomy Detail

Speciality Exclusive Provider Organization
Taxonomy 302F00000X
Licence No 14992
Definition:
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f

Post Comment/ Review Below

FAQs about Desoto Eyecare Inc

What is the unique 10-digit identification code issued to Desoto Eyecare Inc by the Centers for Medicare & Medicaid Services?

The Desoto Eyecare Inc has been assigned the NPI (National Provider Identifier) 1376576884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Desoto Eyecare Inc is physically located?

The Desoto Eyecare Inc is physically situated at the following address: 726 Goodman Rd E Ste B, Southaven, MS, 386719530.

What is the Desoto Eyecare Inc's area of specialization and corresponding taxonomy classification?

The Desoto Eyecare Inc's specialty field is Exclusive Provider Organization, and it falls under the taxonomy code 302F00000X, which categorizes healthcare providers based on their specialties.

When was the Desoto Eyecare Inc's 1376576884 issued?

The Desoto Eyecare Inc's 1376576884 was issued on 2006-07-08.

When was the information pertaining to Desoto Eyecare Inc most recently updated or revised?

The details related to Desoto Eyecare Inc, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-19.

Other Providers of Exclusive Provider Organization
John Chu-hong Chang

NPI Number: 1073516027

Address: 169 N Middletown Rd, Pearl River, NY

Azar/filipov Md Pa

NPI Number: 1700889755

Address: 31519 Winterplace Pkwy, Salisbury, MD

Lynn Bryce Mcmahan

NPI Number: 1669475695

Address: 1420 S 28th Ave, Hattiesburg, MS

Newton Peters

NPI Number: 1407859556

Address: 155 Borthwick Ave, Portsmouth, NH

Andrew Spinak

NPI Number: 1558364505

Address: 169 N Middletown Rd, Pearl River, NY

Charles Lawson Heaton

NPI Number: 1326041377

Address: 3415 Golden Rd, Tyler, TX

Philip E Newman

NPI Number: 1760485791

Address: 1400 Wellbrook Cir Ne, Conyers, GA

Stuart Furtwangle Ball

NPI Number: 1548263577

Address: 2880 Dauphin St, Mobile, AL

Charles Richard Epes

NPI Number: 1871596809

Address: Po Box 38157, Greensboro, NC

George Andrew Boush

NPI Number: 1053314070

Address: 123 Hospital Dr, Watertown, WI

Robert M Feibel

NPI Number: 1871596890

Address: 660 S Euclid Ave, Saint Louis, MO

Jeffrey Scot Hunter

NPI Number: 1134122153

Address: 3415 Golden Rd, Tyler, TX

Jaime Jimenez Agosto

NPI Number: 1932102951

Address: 1420 S 28th Ave, Hattiesburg, MS

Larry Howard Wolff

NPI Number: 1417950619

Address: 1620 Country Club Rd, Valparaiso, IN

Carl Augustine Minning

NPI Number: 1316940513

Address: 2935 Maple Ave, Zanesville, OH