Individual provider Active NPI

Wright B Lauten, MD

  • Retina Specialist (Ophthalmology) Physician
  • Hattiesburg, MS
National Provider Identifier
1174781231
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
21600 Issued in MS
Practice address
109 Millsaps Dr
Suite B
Hattiesburg, MS 39402-1587
Phone
(601) 255-0736
Fax
(601) 255-0735
NPI assigned
May 27, 2008
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME109594 FL
Ophthalmology Physician 207W00000X 21600 MS
Ophthalmology Physician 207W00000X 29277 AL
Student in an Organized Health Care Education/Training Program 390200000X
Retina Specialist (Ophthalmology) Physician 207WX0107X 21600 MS Primary

Addresses

Primary practice location

109 Millsaps Dr
Suite B
Hattiesburg, MS 39402-1587

Mailing address

109 Millsaps Dr
Suite B
Hattiesburg, MS 39402-1587
Phone (601) 255-0736

Other identifiers 3

IdentifierTypeStateIssuer
108970MedicaidAL
51597161OtherALBLUE CROSS AND BLUE SHIELD OF ALABAMA
07831241MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111028000446 MS Practitioner - Ophthalmology 5395898548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Specialists of Mississippi, PLLCGroup PAC ID 8820370133, 7 clinicians

Practice addresses (Care Compare)

109 Millsaps Dr
Suite B
Hattiesburg, MS 39402-1587
Phone (601) 255-0736

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29277ALMDOphthalmology Physician
21600MSMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Specialists of Mississippi, PLLC Ophthalmology CurrentSince Jan 1, 2016 Accepting new patients
University of Alabama Ophthalmology Services Foundation Ophthalmology Past Accepting new patients
Bay Eyes Cataract and Laser Center, Inc. PastSince Nov 1, 2019 Accepting new patients

Locations

953 Tommy Munro Dr
Biloxi, MS 39532
Phone (601) 255-0736

425 Hospital Dr
Ste 1
Columbus, MS 39705
Phone (601) 255-0736

109 Millsaps Dr
Ste B
Hattiesburg, MS 39402
Phone (601) 225-0736

Interoperability endpoints

  • Direct secure messaging: wlauten@rsm.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1174781231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MILLSAPS DR",
            "address_2": "SUITE B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021587",
            "telephone_number": "601-255-0736",
            "fax_number": "601-255-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MILLSAPS DR",
            "address_2": "SUITE B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021587",
            "telephone_number": "601-255-0736",
            "fax_number": "601-255-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTEN",
        "first_name": "WRIGHT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME109594",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "21600",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "29277",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MS",
            "license": "21600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108970",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF ALABAMA",
            "identifier": "51597161",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07831241",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.