COASTAL EYE SURGERY CENTER


Address: 14245 Dedeaux Rd, Gulfport, MS 39503-3369
Phone: 2283280972

COASTAL EYE SURGERY CENTER (NPI# 1669757761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669757761
Entity Type Organization
Organization Name COASTAL EYE SURGERY CENTER
Practice Address 14245 Dedeaux Rd
Gulfport
MS 39503-3369
Practice Telephone 2283280972
Mailing Telephone 2283280972
Enumeration Date 2011-10-20
Last Update Date 2011-10-20
Authorized Official Name DONALD W BENEFIELD (PRESIDENT)
Authorized Official Telephone 2283280972
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS0132X Clinic/Center
Specialization: Ophthalmologic Surgery
012410 MS Ambulatory Health Care Facilities

Office Location

Street Address 14245 DEDEAUX RD
City GULFPORT
State MS
Zip Code 39503-3369

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205807237 Open Mri. LLC Physiological Laboratory 14245 Dedeaux Rd, Gulfport, MS 39503-3369 2006-01-28
1831232479 Richard P Hays Specialist 14245 Dedeaux Rd, Gulfport, MS 39503-3369 2007-02-14
1144363771 William O Henry Specialist 14245 Dedeaux Rd, Gulfport, MS 39503-3369 2007-02-14
1205850773 Gulf Coast Imaging Specialist 14245 Dedeaux Rd, Gulfport, MS 39503-3369 2006-07-27
1265457030 Open Mri, LLC Physiological Laboratory 14245 Dedeaux Rd, Gulfport, MS 39503-3369 2006-07-13
1114988086 Jason Bradley Crowder Radiology 14245 Dedeaux Rd, Gulfport, MS 39503-3369 2006-03-31
1760453799 Compass Imaging LLC Physiological Laboratory 14245 Dedeaux Rd, Gulfport, MS 39503-3369 2006-01-28

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Taxonomy Information

Taxonomy Code 261QS0132X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ophthalmologic Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003387044 Advanced Anesthesia Services LLC Clinic/Center 306 Bradley Rd, Corinth, MS 38834-7047 2018-12-17
1528416641 Southern Eye Surgery and Laser Center, LLC Clinic/Center 1923 W 10th St, Laurel, MS 39440-2538 2016-05-31
1245480482 Coleman Cataract and Eye Laser Surgery Center, Inc. Clinic/Center 2005 Hwy 82 W, Greenwood, MS 38930 2008-09-24
1215014022 Hattiesburg Eye Clinic Cataract & Lasik Surgery Center, LLC Clinic/Center 103 Millsaps Dr, Hattiesburg, MS 39402-1348 2006-11-01
1750390548 Oxford Eye Surgery Center,l.p Clinic/Center 1314 Belk Blvd, Oxford, MS 38655-5302 2006-08-08
1053649558 Popps Ferry Out-patient Surgery Center, LLC Clinic/Center 431 Bertucci Blvd, Biloxi, MS 39531-2255 2009-11-23
1891951885 Mississippi Eye Surgery Center Clinic/Center 3434 Bienville Blvd, Ocean Springs, MS 39564-5732 2008-07-30
1073791158 Southern Eye Surgery Center LLC Clinic/Center 1420 S 28th Ave, Hattiesburg, MS 39402-3107 2008-01-31
1336236710 The Eye Surgery and Laser Center Clinic/Center 501 Marshall St, Suite 604, Jackson, MS 39202-1651 2006-10-06
1164472031 Tupelo Surgery Center, L.L.C. Clinic/Center 3353 N Gloster St, Suite 300, Tupelo, MS 38804-9735 2006-05-11
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Competitor

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City GULFPORT
Zip Code 39503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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