Gaddy Eye Clinic Pllc

LBN: Gaddy Eye Clinic Pllc
Gaddy Eye Clinic Pllc is an health care organization with primary practice located at 10051 Lorraine Road Suite A, Gulfport MS 39503-6001. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gaddy Eye Clinic Pllc can be contacted via phone (228) 539-7762, or through Gaddy, Ira E via phone (228) 539-7762.

Contact Information

Primary practice address
10051 Lorraine Road Suite A Gulfport MS 39503-6001
Phone: (228) 539-7762
Fax: (228) 539-4953
Website:
Map and Directions
Authorized official contact:
Name: Gaddy, Ira E Doctor of Medicine (MD)
Phone: (228) 539-7762

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 08343 Mississippi

Profile Details

NPI number 1679696769
LBN Legal business name Gaddy Eye Clinic Pllc
DBA Doing business as
Authorized official Gaddy, Ira E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Jun 16th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679696769 NPPES
Mississippi Other 08343 STATE LICENSE
Mississippi MEDICAID 00013310 STATE LICENSE
Mississippi MEDICAID 06303560 STATE LICENSE

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