Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid-South Retina Associates, LLC

Organization Ophthalmology Physician · NPI 1639891088

Mid-South Retina Associates, LLC is an Ophthalmology Physician in Olive Branch, Mississippi. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6760 Goodman Rd Ste 125
Olive Branch, MS 38654-7056
Phone: (901) 682-1100
Fax: (731) 265-2913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1639891088
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMid-South Retina Associates, LLC
Authorized official Brian Bradberry — Practice Administrator · (731) 427-7799
NPI enumeratedSeptember 13, 2022
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022
Mailing addressPo Box 1000 Dept 448, Memphis, TN 38148-0001

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