Healthcare Provider Details

I. General information

NPI: 1407784077
Provider Name (Legal Business Name): OLIVE BRANCH VISION SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8863 GOODMAN RD
OLIVE BRANCH MS
38654-2203
US

IV. Provider business mailing address

2553 WOODHURST CV
GERMANTOWN TN
38139-6825
US

V. Phone/Fax

Practice location:
  • Phone: 662-367-2438
  • Fax:
Mailing address:
  • Phone: 901-871-2373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SETH L YOSER
Title or Position: PROVIDER/OWNER
Credential:
Phone: 901-871-2373