Desoto Eyecare INC
NPI #1376576884 in Southaven, Mississippi
Provider Information
- NPI Number
- 1376576884
- Entity Type
- Organization
- Organization Name
- Desoto Eyecare INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DESOTO EYECARE INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jul 8, 2006
- Last Updated
- Sep 19, 2012
Practice Location
- Address
- 726 GOODMAN RD E STE B
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-9530
- Phone
- (662) 349-1959
Authorized Official
- Name
- DR. ALAN R SCHAEFFER, M.D.
- Title
- MD OWNER
- Phone
- (662) 349-1959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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