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 |
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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 |
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Authorized Official Name | Schaeffer R Alan |
Credentials | M.D. |
Telephone Number | 6623491959 |
NPI Number Detail
NPI Number | 1376576884 |
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Provider Enumeration Date | 2006-07-08 |
Last Updated Date | 2012-09-19 |
Provider Mailing Address Detail
Address | 726 Goodman Rd E Ste B |
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City | Southaven |
State | Mississippi (MS) |
Post Code | 386719530 |
Phone Number | 6623491959 |
Fax Number | 6623490424 |
Provider's Primary Taxonomy Detail
Speciality | Exclusive Provider Organization |
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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 |
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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.