Desoto Eyecare Inc
NPI 1376576884ActiveOrganization· Exclusive Provider Organization· Southaven, MS
Exclusive Provider Organization in Southaven, Mississippi, registered in NPPES in July 2006, part of Desoto Eyecare Inc. The authorized official on file is Alan R. Schaeffer, M.D., Md Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1376576884 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Desoto Eyecare Inc |
| NPI issued | Jul 8, 2006 |
| Last updated in NPPES | Sep 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 14992 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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