Organization
ELITE EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY RIDGE OD (OPTOMETRIST)
(662) 612-2020
Entity
Organization
Contact information
Practice address
2631 MCINGVALE RD STE 104, HERNANDO, MS 38632-5935
(662) 612-2020
Mailing address
717 BURTON LN, SOUTHAVEN, MS 38671-6977
(662) 934-2408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
01/29/2026
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