VITREORETINAL EYE CENTER, PC – NPI #1477603074
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

VITREORETINAL EYE CENTER, PC is an AHC clinic located in BILOXI, MS. NPPES has assigned the NPI number 1477603074 to VITREORETINAL EYE CENTER, PC on January 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 3 years ago on Dec 05, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VITREORETINAL EYE CENTER, PC below.

NPI Profile for
VITREORETINAL EYE CENTER, PC

NPI Number
1477603074
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VITREORETINAL EYE CENTER, PC
Primary location
962 TOMMY MUNRO DR STE E
BILOXI, MS 39532-2139
Phone: (228) 388-7000 Fax: (833) 849-9899
1 Other location(s):
67186 Industry Ln Ste A
Covington, LA 70433-8708
Phone: (985) 867-9100
Fax: (833) 849-9899
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AVIT GREMILLION
PRESIDENT/OWNER
Phone: (228) 388-7000
Updated
Certification Date
Dec 05, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for VITREORETINAL EYE CENTER, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherAETNAMS7812033
otherBLUE CROSS BLUE SHIELD MSMS438354140B
otherLA BCBSLA438354140A
otherMEDICARE RAILROADMSDE8313
medicaidLA1486787
medicaidMS05109745
medicaidMS08623204
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
LA 023984
207WX0107X
- Ophthalmology / Retina Specialist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.