Mississippi Eye Surgery Center UC

Primary specialty

Amputee Clinic/CenterTaxonomy code 261QA0900X

Legal business name

MISSISSIPPI EYE SURGERY CENTER UC

Practice address

3432 Bienville Blvd
Ocean Springs, MS 39564

Phone

(228) 244-0067

Fax

(228) 244-0071

NPI assigned

Jul 8, 2006

Last updated

Aug 5, 2008By 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

Ms. Sandy Robertson, RN

Title

Director

Phone

(228) 244-0067

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mississippi Eye Surgery Center

  dba Mississippi Eye Surgery Center Facility

  • Ambulatory Surgical Clinic/Center
  • Ocean Springs, MS
  • NPI 1891951885

  3870553431

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Ms Eye Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mississippi Eye Surgery Center

  dba Mississippi Eye Surgery Center Facility

  • Ambulatory Surgical Clinic/Center
  • Ocean Springs, MS
  • NPI 1891951885
  NPD tax ID

Practitioners 6

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.

• John Mohan, CRNA

  • Certified Registered Nurse Anesthetist
  • Biloxi, MS
  • NPI 1609931930
  Medicare reassignment NPD
• Peter W Pinto, CRNA

  • Certified Registered Nurse Anesthetist
  • Ocean Springs, MS
  • NPI 1588774830

  Single Specialty

  Medicare reassignment NPD
• Gary Blake Steward, CRNA

  • Certified Registered Nurse Anesthetist
  • Ocean Springs, MS
  • NPI 1003146689
  Medicare reassignment NPD
• Margaret M White, CRNA

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
  • NPI 1316349863

  MS

  Medicare reassignment NPD
• Erman Franklin Rawlings, MD

  • Ophthalmology Physician
  • Ocean Springs, MS
  • NPI 1386647436
  NPD (past)
• Blake Matherne, MD

  • Ophthalmology Physician
  • Metairie, LA
  • NPI 1265933626
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1609809326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-244-0067",
            "fax_number": "228-244-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-244-0067",
            "fax_number": "228-244-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI EYE SURGERY CENTER UC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "228-244-0067",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0900X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Amputee",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04480379",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mississippi Coast OB/GYN, P.a.
• Mississippi Coastal MRI LLC
• Mississippi CVS Pharmacy, .L.L.C. (CVS Pharmacy # 05739)
• Mississippi Eye Associates
• Mississippi Eye Surgery Center (Mississippi Eye Surgery Center Facility)
• Mississippi Gulf Coast Young Men's Christian Association, Inc.
• Mississippi Limb Brace and DME, LLC
• Mississippi State Department of Health
• Dana Suzanne Mitchell, M.S. CCC-SLP
• Jonathan Mitchell, PT

• Clinic/Center in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.