Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEEP BLUE RETINA, PLLC
Active OrganizationDEEP BLUE RETINA, PLLC is a Sports Medicine (Emergency) organization located in SOUTHAVEN, Mississippi. NPI 1427511880 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1427511880
- Provider Type
- Organization
- NPI Issued
- Apr 11, 2019 (7.3780648754283 yrs)
- Last Updated
- Dec 1, 2025
Practice Information
- Address
-
7900 AIRWAYS BLVD BLDG A1SOUTHAVEN, MS, 386714116Browse MS providers · Browse ZIP 38671
- Phone
- 9015226520
- Fax
- 9015226521
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.