COASTAL EYE SURGERY CENTER NPI 1669757761

NPI Information

NPI: 1669757761
Provider Name: COASTAL EYE SURGERY CENTER
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

CLIA Number: 25D2032707

Address:
14245 DEDEAUX RD
GULFPORT, MS
ZIP 39503
Phone: (228) 328-0972
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COASTAL EYE SURGERY CENTER is an ophthalmologic surgery clinic center in Gulfport, MS. COASTAL EYE SURGERY CENTER NPI is 1669757761. The provider is registered as an organization entity type.

The provider's business location address is:

14245 DEDEAUX RD
GULFPORT, MS
ZIP 39503-369
Phone: (228) 328-0972

The provider's authorized official is Donald W Benefield .
The authorized official title is President and has the following contact phone number (228) 328-0972.

The CLIA number assigned to this NPI record is 25D2032707 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2011 and was last updated on 10/20/2011.

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
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery	012410	MISSISSIPPI	Yes

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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