Southern Eye Center Of Excellence
LBN: Southern Eye Surgery Center Llc
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 / Ophthalmologic Surgery, which is considered as the primary health care specialty.
Southern Eye Surgery Center Llc can be contacted via phone (601) 264-3937, or through Mcmahan, Lynn B 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ophthalmologic Surgery | 261QS0132X | 010 | Mississippi |
Profile Details
| NPI number | 1073791158 |
|---|---|
| LBN Legal business name | Southern Eye Surgery Center Llc |
| DBA Doing business as | Southern Eye Center Of Excellence |
| Authorized official | Mcmahan, Lynn B Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2008 |
| Last updated | Jan 15th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073791158 | NPPES |
| Mississippi | MEDICAID | 00770066 | |
| Mississippi | Other | 512G490003 |
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