# RETINA SPECIALISTS OF MISSISSIPPI, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588109821
- **Authorized official:** DR. WRIGHT B. LAUTEN MD (SOLE MEMBER)
- **Authorized official phone:** (601) 255-0736

## Contact information

- **Practice address:** 109 MILLSAPS DR STE B, HATTIESBURG, MS 39402-1587
- **Practice address phone:** (601) 255-0736
- **Mailing address:** 109 MILLSAPS DR STE B, HATTIESBURG, MS 39402-1587
- **Mailing address phone:** (601) 255-0736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 21600 | MS | — |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/22/2016
- **Last updated:** 03/24/2022
