Eye Care Surgery Center Of Southaven,Llc

LBN: Eye Care Surgery Center Of Southaven,Llc
Eye Care Surgery Center Of Southaven,Llc is an health care organization with primary practice located at 7600 Airways Blvd Suite D, Southaven MS 38671-5138. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Eye Care Surgery Center Of Southaven,Llc can be contacted via phone (662) 349-7477, or through Gollamudi, Subba R. via phone (901) 685-2200.

Contact Information

Primary practice address
7600 Airways Blvd Suite D Southaven MS 38671-5138
Phone: (662) 349-7477
Fax: (662) 349-7478
Website:
Map and Directions
Authorized official contact:
Name: Gollamudi, Subba R. Doctor of Medicine (MD)
Phone: (901) 685-2200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1780767673
LBN Legal business name Eye Care Surgery Center Of Southaven,Llc
DBA Doing business as
Authorized official Gollamudi, Subba R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 25th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780767673 NPPES
Mississippi MEDICAID 01022398

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