RESTORE OCULOPLASTICS GULF COAST NPI 1225657455

NPI Information

  • NPI: 1225657455
  • Provider Name: RESTORE OCULOPLASTICS GULF COAST
  • Classification: Ophthalmology - 207WX0200X
  • Specialization: Ophthalmic Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 10051 LORRAINE RD STE A-2
    GULFPORT, MS
    ZIP 39503
  • Phone: (228) 231-9477

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NPI Details

RESTORE OCULOPLASTICS GULF COAST is an ophthalmic plastic and reconstructive surgery ophthalmology in Gulfport, MS. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. RESTORE OCULOPLASTICS GULF COAST NPI is 1225657455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10051 LORRAINE RD STE A-2
GULFPORT, MS
ZIP 39503-001
Phone: (228) 231-9477
Fax: (228) 900-0373

The provider's authorized official is Margaret Elizabeth Phillips .
The authorized official title is Owner and has the following contact phone number (228) 231-9477.

The enumeration date for this NPI number is 4/8/2020 and was last updated on 5/5/2021.

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
1207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryYes

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This page was last updated on: 11/21/2025

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