Organization Active NPI

Dapremont Eye Specialists' PA

  • Ophthalmology Physician
  • Gulfport, MS
National Provider Identifier
1356540538
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DAPREMONT EYE SPECIALISTS' PA
Practice address
428 Courthouse Rd
Gulfport, MS 39507-1867
Phone
(228) 896-8050
Fax
(228) 896-3036
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Edgar M Dapremont Jr., M.D.
Title
Owner/M.D.
Phone
(228) 896-8050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

428 Courthouse Rd
Gulfport, MS 39507-1867

Mailing address

428 Courthouse Rd
Gulfport, MS 39507-1867
Phone (228) 896-8050

Other identifiers 1

IdentifierTypeStateIssuer
00122910MedicaidMS

National Provider Directory

National Provider Directory

Locations

428 Courthouse Rd
Gulfport, MS 39507
Phone (228) 896-8050

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1356540538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 COURTHOUSE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071867",
            "telephone_number": "228-896-8050",
            "fax_number": "228-896-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 COURTHOUSE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071867",
            "telephone_number": "228-896-8050",
            "fax_number": "228-896-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAPREMONT EYE SPECIALISTS' PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "DAPREMONT",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "228-896-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122910",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.