1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Specialist
  6. NPI Profile

GADDY EYE CLINIC PLLC
NPI 1679696769
Specialist in Gulfport, MS

Active since April 06, 2007
10051 LORRAINE ROAD, SUITE A, GULFPORT, MS 39503(228) 539-7762(228) 539-4953 Get Directions Write a Review

NPPES record last updated: June 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gaddy Eye Clinic Pllc NPPES

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

GADDY EYE CLINIC PLLC (NPI 1679696769) is a healthcare organization registered as a specialist in Gulfport, Mississippi and active in the NPI registry since April 2007. The organization lists Ira E Gaddy, Owner, as its authorized official.

NPPES Registry Identity

NPI1679696769
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGADDY EYE CLINIC PLLC
Location Address10051 LORRAINE ROAD, SUITE AGulfport, MS 39503-6001
Mailing Address10051 Lorraine Road, Suite AGulfport, MS 39503 · (228) 539-7762 · Fax (228) 539-4953
Phone(228) 539-7762
Fax(228) 539-4953
Organization SubpartNo
Authorized OfficialIra E GaddyOwner · (228) 539-7762
Enumeration DateApril 6, 2007
Last NPPES UpdateJune 16, 2011
✔ NPI 1679696769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 08343
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.
10051 LORRAINE ROAD, Gulfport, MS 39503
Open in Google Maps ↗

Other Identifiers 5

Other08343MS · State License
Medicare ID-Type UnspecifiedC02879MS
Medicaid06303560MS
Medicaid00013310MS
Medicare NSC5114250001MS

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.

IRA EUGENE GADDY III MD
Ophthalmology
10051 LORRAINE ROAD, SUITE A
GULFPORT, MS 39503
Harrison County (228) 539-7762

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 Gaddy Eye Clinic PLLC's NPI number?

The NPI number for Gaddy Eye Clinic PLLC is 1679696769. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Gaddy Eye Clinic PLLC located?

Gaddy Eye Clinic PLLC is located at 10051 Lorraine Road Suite A, Gulfport, MS 39503. The listed phone number is (228) 539-7762.

What is Gaddy Eye Clinic PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Gaddy Eye Clinic PLLC was last updated on June 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.