OrganizationActive
Elite Eyecare
NPI 1508502774 · Optometrist · Hernando, MS
Provider details
- NPI number
- 1508502774
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Emily Ridge, Optometrist(662) 612-2020
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2631 Mcingvale Rd Ste 104
Hernando, MS 38632-5935
Phone: (662) 612-2020
Approximate (ZIP-level) locationGet directions
Mailing address
717 Burton Ln
Southaven, MS 38671-6977
Registry dates
- Enumerated
- 2022-05-10
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.