DEEP BLUE RETINA, PLLC – NPI #1427511880
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

DEEP BLUE RETINA, PLLC is an ophthalmologist located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1427511880 to DEEP BLUE RETINA, PLLC on April 11, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was last updated on Dec 01, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEEP BLUE RETINA, PLLC below.

NPI Profile for
DEEP BLUE RETINA, PLLC

NPI Number
1427511880
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEEP BLUE RETINA, PLLC
Primary location
7900 AIRWAYS BLVD BLDG A1
SOUTHAVEN, MS 38671-4116
Phone: (901) 522-6520 Fax: (901) 522-6521
2 Other location(s):
150 Cracker Barrell Dr
Batesville, MS 38606-3031
Phone: (662) 270-8090
6401 Poplar Ave Ste 251
Memphis, TN 38119-4846
Phone: (901) 522-6520
Fax: (901) 522-6521
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JORGE CALZADA
PRESIDENT
Phone: (901) 522-6520
Updated
Certification Date
Dec 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.