The Retina Institute of Mississippi, PLLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

THE RETINA INSTITUTE OF MISSISSIPPI, PLLC

Practice address

281 Trace Colony Park Dr Ste a
Ridgeland, MS 39157-8810

Phone

(601) 324-4066

Fax

(601) 345-4272

NPI assigned

Oct 22, 2019

Last updated

Jan 17, 2022By 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

Dr. Brian C. Tieu, MD, PHDNPI 1962780023

Title

Ceo/Physician

Phone

(409) 553-9058

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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.

• Brian C. Tieu, M.D., PH.D.

  • Retina Specialist (Ophthalmology) Physician
  • Ridgeland, MS
  • NPI 1962780023
  Medicare reassignment NPD Authorized official
• Carolyn Ann Cushing, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Ridgeland, MS
  • NPI 1740484302
  NPD

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1255974309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 TRACE COLONY PARK DR STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578810",
            "telephone_number": "601-324-4066",
            "fax_number": "601-345-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 TRACE COLONY PARK DR STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578810",
            "telephone_number": "601-324-4066",
            "fax_number": "601-345-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETINA INSTITUTE OF MISSISSIPPI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "TIEU",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "409-553-9058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Headache Center, PLLC
• The Healthcare Staffing Group
• The Henderson Clinic LLC
• The Orchard
• The Pillars Counseling Center, LLC
• The Weston Group, Inc. (The Weston Health Care Group, Inc.)
• Therapy South - Ridgeland LLC
• Therapy Unlimited, LLC
• Thomas Therapy, PLLC
• Jason Austin Thomas, M.D.

• Retina Specialist (Ophthalmology) Physician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Retina Specialist (Ophthalmology) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.