COASTAL EYE SURGERY CENTER NPI 1669757761

NPI Information

  • NPI: 1669757761
  • Provider Name: COASTAL EYE SURGERY CENTER
  • Classification: Clinic/Center - 261QS0132X
  • Specialization: Ophthalmologic Surgery
  • Entity Type: Organization
  • CLIA Number: 25D2032707
  • Address: 14245 DEDEAUX RD
    GULFPORT, MS
    ZIP 39503
  • Phone: (228) 328-0972

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NPI Details

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 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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)

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
1261QS0132XClinic/CenterOphthalmologic Surgery012410MISSISSIPPIYes

What is NPI?

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

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