| Desoto Family Vision Pllc | |
|
1228 Goodman Rd E Ste 1, Southaven, MS 38671-9540 | |
| (662) 893-3300 | |
| Not Available |
| Full Name | Desoto Family Vision Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1228 Goodman Rd E Ste 1, Southaven, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679348924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | David Parker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558321729 PECOS PAC ID: 8628963949 Enrollment ID: I20040217000188 |
| Provider Name | Sean P Aldinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659330231 PECOS PAC ID: 9739177270 Enrollment ID: I20040504000760 |
| Provider Name | Walter Pang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548692130 PECOS PAC ID: 4284858473 Enrollment ID: I20140609001556 |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Family Vision Pllc 6947 Crumpler Blvd, Olive Branch, MS 38654-1922 Ph: (662) 893-3300 | Desoto Family Vision Pllc 1228 Goodman Rd E Ste 1, Southaven, MS 38671-9540 Ph: (662) 893-3300 |
Dr. Heather Michelle Dowdy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6811 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-349-1920 Fax: 662-349-1995 | |
Obreineyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 354 Stateline Rd W, Southaven, MS 38671 Phone: 662-647-8707 Fax: 662-647-8706 | |
Parth Amin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 940 Church Rd W Ste C, Southaven, MS 38671 Phone: 662-331-3937 | |
Alan Charles Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1228 Goodman Rd E Ste 1, Southaven, MS 38671 Phone: 662-349-8838 Fax: 662-349-8875 | |
Dr. Taylor Nicole Keys, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Bldg A1, Southaven, MS 38671 Phone: 901-228-0092 | |
Dr. Michael Edward Obrien, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1890 Goodman Rd E, Suite 100, Southaven, MS 38671 Phone: 662-772-5882 Fax: 662-772-5808 | |
Eyear Optical Optometrist Medicare: Medicare Enrolled Practice Location: 3044 Goodman Rd E, Southaven, MS 38672 Phone: 662-349-1660 |