OPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC
NPI 1053410126
Ophthalmology in Jackson, MS

Active since September 22, 2006
1421 NORTH STATE ST, STE 304, JACKSON, MS 39202(601) 355-9537(601) 355-6893 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ophthalmic Plastic Surgery Specialists Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC (NPI 1053410126) is a healthcare organization registered as an ophthalmology in Jackson, Mississippi and active in the NPI registry since September 2006. The organization lists David Ronald Segrest, Owner, as its authorized official.

NPPES Registry Identity

NPI1053410126
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameOPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC
Location Address1421 NORTH STATE ST, STE 304Jackson, MS 39202
Mailing Address1421 North State St, Ste 304Jackson, MS 39202 · (601) 355-9537 · Fax (601) 355-6893
Fax(601) 355-6893
Organization SubpartNo
Authorized OfficialDavid Ronald SegrestOwner · (601) 355-9537
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMarch 24, 2010
NPI 1053410126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1421 NORTH STATE ST, Jackson, MS 39202

Other Identifiers 4

Medicare ID-Type UnspecifiedC03272MS
Medicaid00580070MS
OtherDC7890Railroad Medicare
Medicare UPINB66163

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
1421 NORTH STATE ST, SUITE 504
JACKSON, MS 39202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ophthalmic Plastic Surgery Specialists PLLC's NPI number?

The NPI number for Ophthalmic Plastic Surgery Specialists PLLC is 1053410126. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Ophthalmic Plastic Surgery Specialists PLLC located?

Ophthalmic Plastic Surgery Specialists PLLC is located at 1421 North State St Ste 304, Jackson, MS 39202. The listed phone number is (601) 355-9537.

What is Ophthalmic Plastic Surgery Specialists PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Ophthalmic Plastic Surgery Specialists PLLC was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.