Organization
THE EYE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C SAMS III M.D. (PRESIDENT)
(228) 864-2633
Entity
Organization
Contact information
Practice address
1900 23RD AVE, GULFPORT, MS 39501-2965
(228) 864-2633
(228) 865-0339
Mailing address
PO BOX 148, GULFPORT, MS 39502-0148
(228) 864-2633
(228) 865-0339
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013545
—
MS
Enumeration date
05/20/2006
Last updated
04/05/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us