# MISSISSIPPI EYE SURGERY CENTER UC

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

## Provider details

- **NPI number:** 1609809326
- **Authorized official:** MS. SANDY ROBERTSON RN (DIRECTOR)
- **Authorized official phone:** (228) 244-0067

## Contact information

- **Practice address:** 3432 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564
- **Practice address phone:** (228) 244-0067
- **Practice address fax:** (228) 244-0071
- **Mailing address:** 3432 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564
- **Mailing address phone:** (228) 244-0067
- **Mailing address fax:** (228) 244-0071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0900X | Amputee Clinic/Center | — | MS | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 08/05/2008
