# DESOTO EYECARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DESOTO EYECARE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376576884
- **Legal business name:** DESOTO EYECARE INC
- **Authorized official:** DR. ALAN R SCHAEFFER M.D. (MD OWNER)
- **Authorized official phone:** (662) 349-1959

## Contact information

- **Practice address:** 726 GOODMAN RD E STE B, SOUTHAVEN, MS 38671-9530
- **Practice address phone:** (662) 349-1959
- **Practice address fax:** (662) 349-0424
- **Mailing address:** 726 GOODMAN RD E STE B, SOUTHAVEN, MS 38671-9530
- **Mailing address phone:** (662) 349-1959
- **Mailing address fax:** (662) 349-0424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 14992 | MS | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 09/19/2012