OrganizationActive
Eye and Aesthetic Surgery Center, LLC
NPI 1902957483 · Ambulatory Surgical Clinic/Center · Mccomb, MS
Provider details
- NPI number
- 1902957483
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dell Choate, Administrator(601) 684-3112
- License
- 25C0001019 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
414b Marion Ave
Mccomb, MS 39648-2710
Phone: (601) 684-9675
Fax: (601) 684-9919
Street-level locationGet directions
Mailing address
414b Marion Ave
Mccomb, MS 39648-2710
Registry dates
- Enumerated
- 2007-01-13
- Last updated
- 2008-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.