Active NPI
Desoto Eyecare Inc
- Exclusive Provider Organization
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 14992
- Legal business name
- DESOTO EYECARE INC
- Practice address
- 726 Goodman Rd E Ste B
Southaven, MS 38671-9530 - Phone
- (662) 349-1959
- Fax
- (662) 349-0424
- NPI assigned
- Jul 8, 2006
- Last updated
- Sep 19, 2012
- Organization subpart
- Yes
- Parent organization
- DESOTO EYECARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan R Schaeffer, M.D.
- Title
- MD Owner
- Phone
- (662) 349-1959
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 14992 | MS | Primary |
Addresses
Primary practice location
726 Goodman Rd E Ste B
Southaven, MS 38671-9530
Mailing address
726 Goodman Rd E Ste B
Southaven, MS 38671-9530
Phone (662) 349-1959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
Enrollment records 2
National Provider Directory
National Provider Directory- Part of
- Desoto Eyecare Inc
Locations
7164 Hacks Cross Rd
Ste 126
Olive Branch, MS 38654
Phone (662) 895-3937
726 Goodman Rd E
#B
Southaven, MS 38671
Phone (662) 349-1959
775 Goodman Rd E
Ste 1
Southaven, MS 38671
Phone (662) 349-0424
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Southaven, MS
- NPI 1730923707
-
- Optometrist
- Hernando, MS
- NPI 1861916991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348012800000",
"number": "1376576884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 GOODMAN RD E STE B",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719530",
"telephone_number": "662-349-1959",
"fax_number": "662-349-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 GOODMAN RD E STE B",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719530",
"telephone_number": "662-349-1959",
"fax_number": "662-349-0424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESOTO EYECARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DESOTO EYECARE INC",
"enumeration_date": "2006-07-08",
"last_updated": "2012-09-19",
"status": "A",
"authorized_official_last_name": "SCHAEFFER",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "662-349-1959",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "MS",
"license": "14992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.