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DESOTO EYE SURGERY CENTER LLC
NPI 1073754602
Clinic/Center - Ambulatory Surgical in Southaven, MS

Active since March 11, 2009CLIA 25D1098836 · Waiver
726 GOODMAN RD E, SUITE B, SOUTHAVEN, MS 38671(662) 349-1959(662) 349-0424 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desoto Eye Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESOTO EYE SURGERY CENTER LLC (NPI 1073754602) is a healthcare organization registered as an ambulatory surgical in Southaven, Mississippi and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Alan R. Schaeffer, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1073754602
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameDESOTO EYE SURGERY CENTER LLC
Location Address726 GOODMAN RD E, SUITE BSouthaven, MS 38671-9530
Mailing Address726 Goodman Rd E, Suite BSouthaven, MS 38671-9530 · (662) 349-1959 · Fax (662) 349-0424
Phone(662) 349-1959
Fax(662) 349-0424
Organization SubpartNo
Authorized OfficialAlan R. SchaefferManaging Member · (662) 349-1959
Enumeration DateMarch 11, 2009
Last NPPES UpdateApril 5, 2012
✔ NPI 1073754602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
726 GOODMAN RD E, Southaven, MS 38671
Open in Google Maps ↗

Other Identifiers 2

OtherP00959926MS · Railroad Medicare
Medicare PIN302G496047MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D1098836

Desoto Eye Surgery Center LLC · Southaven, MS
Active · expires Apr 28, 2027
CLIA Number25D1098836
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorAlan R. Schaeffer
Laboratory Phone(662) 349-1959
Laboratory LocationDesoto Eye Surgery Center LLC726 Goodman Road East Suite B, Southaven, MS 38671
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
69 services53 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
31 services27 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIP A HOOKER OD
Optometrist
726 GOODMAN RD E, # B
SOUTHAVEN, MS 38671
Desoto County (662) 349-1959
DR. ALAN R SCHAEFFER MD
Ophthalmology
726 GOODMAN RD E, # B
SOUTHAVEN, MS 38671
Desoto County (662) 349-1959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desoto Eye Surgery Center LLC's NPI number?

The NPI number for Desoto Eye Surgery Center LLC is 1073754602. It was assigned to this organization in the NPPES registry on March 11, 2009.

Where is Desoto Eye Surgery Center LLC located?

Desoto Eye Surgery Center LLC is located at 726 Goodman Rd E Suite B, Southaven, MS 38671. The listed phone number is (662) 349-1959.

What is Desoto Eye Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Desoto Eye Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1098836) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Desoto Eye Surgery Center LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Desoto Eye Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Desoto Eye Surgery Center LLC was last updated on April 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.