Eye Surgical Center of Mississippi

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EYE SURGICAL CENTER OF MISSISSIPPI

Practice address

1053 River Oaks Dr
Flowood, MS 39232-9595

Phone

(601) 969-1430

Fax

(601) 709-2117

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Brannon Aden, M.D.NPI 1700805363

Title

Director

Phone

(601) 969-1430

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Listed as

Eye Surgical Center of MississippiCCN 25C0001061

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

Practitioners 1

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

• Leslie Brannon Aden, M.D.

  • Ophthalmology Physician
  • Flowood, MS
  • NPI 1700805363
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1932207669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 RIVER OAKS DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329595",
            "telephone_number": "601-969-1430",
            "fax_number": "601-709-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 RIVER OAKS DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329595",
            "telephone_number": "601-969-1430",
            "fax_number": "601-709-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGICAL CENTER OF MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "ADEN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "BRANNON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-969-1430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03482026",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enduracare Acute Care Services LLC
• Molly A Ervin Person, M.D.
• Holly Ann Escude, CRNA
• Sherrill Michele Evans, FNP
• Billy Everett, R.PH.
• Eyecare Professionals of Mississippi, PLLC
• Eyecare Professionals PA
• Charles Frederick Ezelle, D.M.D.
• F and M Specialty Pharmacy Inc
• Family Dental Care

• Ambulatory Surgical Clinic/Center in Flowood, MS
• Providers in Flowood, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.