Organization
DESOTO EYECARE INC
Active
Parent organization
DESOTO EYECARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESOTO EYECARE INC
Authorized official
DR. ALAN R SCHAEFFER M.D. (MD OWNER)
(662) 349-1959
Entity
Organization
Contact information
Practice address
726 GOODMAN RD E STE B, SOUTHAVEN, MS 38671-9530
(662) 349-1959
(662) 349-0424
Mailing address
726 GOODMAN RD E STE B, SOUTHAVEN, MS 38671-9530
(662) 349-1959
(662) 349-0424
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
14992
MS
Other
Enumeration date
07/08/2006
Last updated
09/19/2012
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