Organization Active NPI

Eye Associates of the South PLLC

  • Ophthalmology Physician
  • Biloxi, MS
National Provider Identifier
1972678134
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
09692 Issued in MS
Legal business name
EYE ASSOCIATES OF THE SOUTH PLLC
Practice address
1720A Medical Park Dr
Suite 330
Biloxi, MS 39532-2129
Phone
(228) 396-5185
Fax
(228) 396-5186
NPI assigned
Nov 22, 2006
Last updated
Dec 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Joel M Knight, M.D.NPI 1831117019
Title
Partner
Phone
(228) 396-5185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 09692 MS Primary

Addresses

Primary practice location

1720A Medical Park Dr
Suite 330
Biloxi, MS 39532-2129

Mailing address

1720A Medical Park Dr
Suite 330
Biloxi, MS 39532-2129
Phone (228) 396-5185

Other identifiers 1

IdentifierTypeStateIssuer
09014031MedicaidMS

Other names 1

  • EYE ASSOCIATES OF THE SOUTH Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070827000297 MS Part B Supplier - Clinic/Group Practice 4880786581 Receives reassigned benefits from 4 practitioners
Practice locations: Biloxi, MS

National Provider Directory

National Provider Directory

Locations

1721 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-2192

1085 Tommy Munro Dr
Biloxi, MS 39532
Phone (228) 396-5185

14000 Big Ridge Rd
Ste A
Biloxi, MS 39532
Phone (228) 872-4444

15277 Creosote Rd
Gulfport, MS 39503
Phone (228) 575-4488

6616 Washington Ave
Ste A
Ocean Springs, MS 39564
Phone (228) 872-4444

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1972678134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR",
            "address_2": "SUITE 330",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322129",
            "telephone_number": "228-396-5185",
            "fax_number": "228-396-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR",
            "address_2": "SUITE 330",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322129",
            "telephone_number": "228-396-5185",
            "fax_number": "228-396-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF THE SOUTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "228-396-5185",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "09692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014031",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE ASSOCIATES OF THE SOUTH",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.