BENEFIELD EYE CARE, PC
NPI 1104879196
Specialist in Gulfport, MS

Active since May 18, 2006CLIA 25D2068661 · Waiver
11240 HIGHWAY 49, STE 300, GULFPORT, MS 39503(228) 328-0972(228) 328-0975 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benefield Eye Care, Pc NPPES

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

BENEFIELD EYE CARE, PC (NPI 1104879196) is a healthcare organization registered as a specialist in Gulfport, Mississippi and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Donald W Benefield, President, as its authorized official.

NPPES Registry Identity

NPI1104879196
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBENEFIELD EYE CARE, PC
Location Address11240 HIGHWAY 49, STE 300Gulfport, MS 39503-4151
Mailing Address11240 Highway 49, Ste 300Gulfport, MS 39503-4151 · (228) 328-0972 · Fax (228) 328-0975
Fax(228) 328-0975
Organization SubpartNo
Authorized OfficialDonald W BenefieldPresident · (228) 328-0972
Enumeration DateMay 18, 2006
Last NPPES UpdateMarch 7, 2008
NPI 1104879196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MS · 012410
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11240 HIGHWAY 49, Gulfport, MS 39503

Other Identifiers 3

Medicaid09016235MS
Medicare NSC4680540001MS
Medicare ID-Type Unspecified02721MS

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2068661

Benefield Eye Care, PC · Gulfport, MS
Active · expires Nov 7, 2027
CLIA Number25D2068661
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorDonald W. Benefield
Laboratory Phone(228) 328-0972
Laboratory LocationBenefield Eye Care, PC14225 Dedeaux Road, Gulfport, MS 39503
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Optometrist
11240 HIGHWAY 49, STE 300
GULFPORT, MS 39503
Nurse Practitioner (Family)
11240 HIGHWAY 49, STE 300
GULFPORT, MS 39503
Nurse Practitioner
11240 HIGHWAY 49, STE 300
GULFPORT, MS 39503

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 Benefield Eye Care, PC's NPI number?

The NPI number for Benefield Eye Care, PC is 1104879196. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Benefield Eye Care, PC located?

Benefield Eye Care, PC is located at 11240 Highway 49 Ste 300, Gulfport, MS 39503. The listed phone number is (228) 328-0972.

What is Benefield Eye Care, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Benefield Eye Care, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2068661) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Benefield Eye Care, PC was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.