Southern Eye Center Of Excellence

LBN: Southern Eye Center P.A. Ii
Southern Eye Center Of Excellence is an health care organization with primary practice located at 1420 S 28Th Ave , Hattiesburg MS 39402-3107. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Southern Eye Center P.A. Ii can be contacted via phone (601) 264-3937, or through Weems, John via phone (601) 264-3937.

Contact Information

Primary practice address
1420 S 28Th Ave Hattiesburg MS 39402-3107
Phone: (601) 264-3937
Fax: (601) 264-5930
Website:
Map and Directions
Authorized official contact:
Name: Weems, John
Phone: (601) 264-3937

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 010 Mississippi

Profile Details

NPI number 1265435010
LBN Legal business name Southern Eye Center P.A. Ii
DBA Doing business as Southern Eye Center Of Excellence
Authorized official Weems, John
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Aug 15th, 2008 - about 16 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 1265435010 NPPES
Mississippi MEDICAID 00770066
Mississippi MEDICAID 09014315

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