NPI 1316973076 · live from the CMS NPI Registry
Mid South Retina Associates, LLC
Ophthalmology in Blytheville, AR. National Provider Identifier 1316973076, active.
NPI record
| NPI | 1316973076 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 529 N 10th St, Blytheville, AR 72315 |
| Practice phone | 870-762-1942 |
| Mailing address | Po Box 1000 Dept 448, Memphis, TN 38148 |
| Enumerated | June 24, 2006 |
| Last updated | February 28, 2023 |
| Authorized official | Richard Sievers, Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.