{"npi":"1679348924","type":"NPI-2","status":"active","name":{"display":"Desoto Family Vision PLLC","other":[],"organization_name":"DESOTO FAMILY VISION PLLC","authorised_official":"David Parker"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1228 GOODMAN RD E STE 1","city":"SOUTHAVEN","state":"MS","postal_code":"386719540","country_code":"US","phone":"6628933300"},{"purpose":"MAILING","street_1":"6947 CRUMPLER BLVD","city":"OLIVE BRANCH","state":"MS","postal_code":"386541922","country_code":"US","phone":"6628933300","fax":"6628933301"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240206004551","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MS","pac_id":"0345683322"}]},"enumeration_date":"2023-11-16","last_updated":"2023-11-16","_meta":{"source":"NPPES","snapshot_date":"2023-11-16","doc_url":"https://findmynpi.com/api"}}