SPECIALTY SURGERY & LASER CENTER NPI 1194214510

NPI Information

  • NPI: 1194214510
  • Provider Name: SPECIALTY SURGERY & LASER CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 25D2158902
  • Address: 306 BRADLEY RD STE A
    CORINTH, MS
    ZIP 38834
  • Phone: (662) 286-6068

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NPI Details

SPECIALTY SURGERY & LASER CENTER is an ambulatory surgical clinic center in Corinth, MS. SPECIALTY SURGERY & LASER CENTER NPI is 1194214510. The provider is registered as an organization entity type.

The provider's business location address is:

306 BRADLEY RD STE A
CORINTH, MS
ZIP 38834-047
Phone: (662) 286-6068
Fax: (662) 286-0188

The provider's authorized official is John R Shipp .
The authorized official title is Owner and has the following contact phone number (662) 286-6068.

The CLIA number assigned to this NPI record is 25D2158902 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Injection, bimatoprost, intracameral implant, 1 microgram (HCPCS:J7351)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Injection of medication into eye (HCPCS:66030)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Extensive repair of turning-inward eyelid defect (HCPCS:67924)

The enumeration date for this NPI number is 5/2/2018 and was last updated on 5/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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