MID-SOUTH RETINA ASSOCIATES, LLC
NPI 1639891088
Ophthalmology in Olive Branch, MS

Active since September 13, 2022
6760 GOODMAN RD STE 125, OLIVE BRANCH, MS 38654(901) 682-1100(731) 265-2913 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 19, 2022, Sep 13, 2022 (2 updates tracked since 2022).

About Mid-south Retina Associates, Llc NPPES

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

MID-SOUTH RETINA ASSOCIATES, LLC (NPI 1639891088) is a healthcare organization registered as an ophthalmology in Olive Branch, Mississippi and active in the NPI registry since September 2022. The organization lists Brian Bradberry, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1639891088
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMID-SOUTH RETINA ASSOCIATES, LLC
Location Address6760 GOODMAN RD STE 125Olive Branch, MS 38654-7056
Mailing AddressPo Box 1000 Dept 448Memphis, TN 38148-0001 · (901) 682-1100
Fax(731) 265-2913
Organization SubpartYes
Authorized OfficialBrian BradberryPractice Administrator · (731) 427-7799
Enumeration DateSeptember 13, 2022
Last NPPES UpdateOctober 19, 20222 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
NPI 1639891088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

6760 GOODMAN RD STE 125, Olive Branch, MS 38654

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Ophthalmology
6760 GOODMAN RD STE 125
OLIVE BRANCH, MS 38654
Ophthalmology (Retina Specialist)
6760 GOODMAN RD STE 125
OLIVE BRANCH, MS 38654

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639891088, enumerated as an "organization" on September 13, 2022.

The provider is located at 6760 GOODMAN RD STE 125 OLIVE BRANCH, MS 38654 and the phone number is (901) 682-1100.

Ophthalmology with taxonomy code 207W00000X.