Depriest, Steve M

Depriest, Steve M is an sole proprietor health care provider with primary practice located at 611 Van Buren Ave , Oxford MS 38655-3839. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Depriest, Steve M can be contacted via phone (662) 234-6033.

Contact Information

Primary practice address
611 Van Buren Ave Oxford MS 38655-3839
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 500 Mississippi

Profile Details

NPI number 1801964259
LBN Legal business name Depriest, Steve M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2006
Last updated Oct 28th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801964259 NPPES
Mississippi MEDICAID 00087923

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