DESOTO FAMILY VISION PLLC
NPI 1679348924
Optometrist in Southaven, MS
About Desoto Family Vision Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESOTO FAMILY VISION PLLC (NPI 1679348924) is a healthcare organization registered as an optometrist in Southaven, Mississippi and active in the NPI registry since November 2023. The organization lists David Parker, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Desoto Family Vision Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Desoto Family Vision PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Family Vision PLLC's NPI number?
The NPI number for Desoto Family Vision PLLC is 1679348924. It was assigned to this organization in the NPPES registry on November 16, 2023.
Where is Desoto Family Vision PLLC located?
Desoto Family Vision PLLC is located at 1228 Goodman Rd E Ste 1, Southaven, MS 38671. The listed phone number is (662) 893-3300.
What is Desoto Family Vision PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Desoto Family Vision PLLC enrolled in Medicare?
Yes. Desoto Family Vision PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Desoto Family Vision PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Desoto Family Vision PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Desoto Family Vision PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Desoto Family Vision PLLC 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 Family Vision PLLC was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Desoto Family Vision Pllc · NPI 1679348924
Optometrist organization in Southaven, Mississippi. Organization record, active in the CMS NPPES registry since November 16, 2023.
## Identity
- **NPI:** 1679348924 (Entity type: Organization)
- **Enumerated:** November 16, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** David Parker, OWNER
## Practice location
- **Address:** 1228 GOODMAN RD E STE 1, Southaven, MS 38671-9540
- **Phone:** (662) 893-3300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1679348924) · Data from the CMS NPPES public registry.