Desoto Family Vision PLLC
NPI 1679348924ActiveOrganization· Optometrist· Southaven, MS
Optometrist in Southaven, Mississippi, registered in NPPES in November 2023. The authorized official on file is David Parker, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679348924 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2023 |
| Last updated in NPPES | Nov 16, 2023 |
| Certified by provider | Nov 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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