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MISSISSIPPI EYE SURGERY CENTER UC NPI 1609809326


NPI Information

NPI: 1609809326
Provider Name: MISSISSIPPI EYE SURGERY CENTER UC
Classification: Clinic/Center - 261QA0900X
Entity Type: Organization

Specialization: Amputee

CLIA Number: 25D1021851

Address:
3432 BIENVILLE BLVD
OCEAN SPRINGS, MS
ZIP 39564
Phone: (228) 244-0067
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MISSISSIPPI EYE SURGERY CENTER UC is an amputee clinic center in Ocean Springs, MS. The provider is an entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs. MISSISSIPPI EYE SURGERY CENTER UC NPI is 1609809326. The provider is registered as an organization entity type.

The provider's business location address is:

3432 BIENVILLE BLVD
OCEAN SPRINGS, MS
ZIP 39564
Phone: (228) 244-0067
Fax: (228) 244-0071

The provider's authorized official is Sandy Robertson .
The authorized official title is Director and has the following contact phone number (228) 244-0067.

The CLIA number assigned to this NPI record is 25D1021851 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 8/5/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0900XClinic/CenterAmputeeMISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104480379MEDICAIDMISSISSIPPI
2C03188MEDICARE PINMISSISSIPPI

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: 4/28/2024

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