RETINA SPECIALISTS OF MISSISSIPPI, PLLC – NPI #1588109821
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

RETINA SPECIALISTS OF MISSISSIPPI, PLLC is an ophthalmologist located in HATTIESBURG, MS. NPPES has assigned the NPI number 1588109821 to RETINA SPECIALISTS OF MISSISSIPPI, PLLC on December 22, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 4 years ago on Mar 24, 2022. 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 RETINA SPECIALISTS OF MISSISSIPPI, PLLC below.

NPI Profile for
RETINA SPECIALISTS OF MISSISSIPPI, PLLC

NPI Number
1588109821
Enumeration Date

(more than 9 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
RETINA SPECIALISTS OF MISSISSIPPI, PLLC
Primary location
109 MILLSAPS DR STE B
HATTIESBURG, MS 39402-1587
Phone: (601) 255-0736 Fax:
2 Other location(s):
425 Hospital Dr Ste 1
Columbus, MS 39705-1938
Phone: (601) 512-0378
Fax: (601) 512-0027
6694 Poplar Springs Dr
Meridian, MS 39305-1119
Phone: (601) 512-0378
Fax: (601) 512-0027
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WRIGHT LAUTEN
SOLE MEMBER
Phone: (601) 255-0736
Updated
Certification Date
Mar 24, 2022

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.

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
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
207W00000X
- Ophthalmology		 MS 21600

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.