The Eye Surgery and Laser Center

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

07279 Issued in MS

Legal business name

THE EYE SURGERY AND LASER CENTER

Practice address

501 Baptist Dr Ste 220
Madison, MS 39110-2031

Phone

(601) 985-9120

Fax

(601) 985-9122

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Lee Moore, MD

Title

Medical Director

Phone

(601) 985-9120

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Listed as

Eye Surgery and Laser Center LLCCCN 25C0001042

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1336236710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAPTIST DR STE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102031",
            "telephone_number": "601-985-9120",
            "fax_number": "601-985-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAPTIST DR STE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102031",
            "telephone_number": "601-985-9120",
            "fax_number": "601-985-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE SURGERY AND LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "601-985-9120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "MS",
            "license": "07279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000770598",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan B Taylor, OT
• Kristy L Taylor, ED.D., SLP
• Terra Medical Group, LLC
• Joe W Terry, MD
• The Bedford Medical Corporation
• The Smile Studio PA
• Therapy South - Gluckstadt LLC
• Alasiah Thomas, RN
• Briannica Thomas, PHARMD
• Charles Thomas

• Ophthalmologic Surgery Clinic/Center in Madison, MS
• Providers in Madison, MS by specialty
• Ophthalmologic Surgery Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.