Mississippi Eye Associates

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

12585 Issued in MS

Legal business name

MISSISSIPPI EYE ASSOCIATES

Practice address

3631 Bienville Blvd
Ocean Springs, MS 39564-5702

Phone

(228) 875-2020

NPI assigned

Sep 27, 2010

Last updated

Sep 27, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tawanna Michelle McMillian

Title

Office Manager

Phone

(228) 875-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• James David Sutton, M.D.

  • Ophthalmology Physician
  • Ocean Springs, MS
  • NPI 1336252774

  O20100930083159

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Walker Appelo, MD

  • Ophthalmology Physician
  • Ocean Springs, MS
  • NPI 1063909158
  Medicare reassignment Care Compare group NPD
• James David Sutton, M.D.

  • Ophthalmology Physician
  • Ocean Springs, MS
  • NPI 1336252774
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1033428990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645702",
            "telephone_number": "228-875-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645702",
            "telephone_number": "228-875-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "TAWANNA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-875-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "12585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven K Miner, D.M.D.
• Miracle Home Care
• Mississippi Coast OB/GYN, P.a.
• Mississippi Coastal MRI LLC
• Mississippi CVS Pharmacy, .L.L.C. (CVS Pharmacy # 05739)
• Mississippi Eye Surgery Center (Mississippi Eye Surgery Center Facility)
• Mississippi Eye Surgery Center UC
• Mississippi Gulf Coast Young Men's Christian Association, Inc.
• Mississippi Limb Brace and DME, LLC
• Mississippi State Department of Health

• Ophthalmology Physician in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.