Organization
DEEP BLUE RETINA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE I CALZADA MD (PRESIDENT)
(901) 522-6520
Entity
Organization
Contact information
Practice address
7900 AIRWAYS BLVD BLDG A1, SOUTHAVEN, MS 38671-4116
(901) 522-6520
(901) 522-6521
Mailing address
7900 AIRWAYS BLVD BLDG A1, SOUTHAVEN, MS 38671-4116
(901) 522-6520
(901) 522-6521
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
12/01/2025
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