Organization
DESOTO FAMILY VISION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PARKER OD (OWNER)
(662) 893-3300
Entity
Organization
Contact information
Practice address
1228 GOODMAN RD E STE 1, SOUTHAVEN, MS 38671-9540
(662) 893-3300
Mailing address
6947 CRUMPLER BLVD, OLIVE BRANCH, MS 38654-1922
(662) 893-3300
(662) 893-3301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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