Healthcare Provider Details
I. General information
NPI: 1720943301
Provider Name (Legal Business Name): HEART OF VISION EYE CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 BARNES CROSSING RD STE 181
TUPELO MS
38804-0919
US
IV. Provider business mailing address
4060 INDIGO DR UNIT 114
PENSACOLA FL
32507-7609
US
V. Phone/Fax
- Phone: 662-715-0806
- Fax: 662-715-0806
- Phone: 662-715-0806
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ELIZABETH
MASON
DARBY
Title or Position: OWNER/MANAGING MEMBER
Credential: OD
Phone: 662-715-0806