Southern Eye Surgery Center Llc in Hattiesburg - Ophthalmologic Surgery
Southern Eye Surgery Center Llc - NPI 1073791158
Southern Eye Surgery Center Llc is a Ophthalmologic Surgery in Hattiesburg, Mississippi. Southern Eye Surgery Center Llc practices all healthcare services and medical treatments related to Ophthalmologic Surgery. The NPI Number for Southern Eye Surgery Center Llc is 1073791158. The last update date is 2009-01-15.
Southern Eye Surgery Center Llc's current location address is 1420 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012643937 and fax number 6012645930. The mailing address for Southern Eye Surgery Center Llc is 1420 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Eye Surgery Center Llc |
|---|---|
| Address | 1420 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6012643937 |
| Fax Number | 6012645930 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mcmahan B Lynn |
| Credentials | M.D. |
| Telephone Number | 6012643937 |
NPI Number Detail
| NPI Number | 1073791158 |
|---|---|
| Provider Enumeration Date | 2008-01-31 |
| Last Updated Date | 2009-01-15 |
Provider Mailing Address Detail
| Address | 1420 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394023107 |
| Phone Number | 6012643937 |
| Fax Number | 6012645930 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmologic Surgery |
|---|---|
| Taxonomy | 261Qs0132X |
| Licence No | 10 |
|
Definition: Provides surgical procedures to treat eye conditions and disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 770066 | MS | -- | |
| 512G490003 | MS | MEDICARE PTAN FOR SOUTHERN EYE |
Post Comment/ Review Below
What is the unique identification code assigned to Southern Eye Surgery Center Llc by the Centers for Medicare & Medicaid Services?
The Southern Eye Surgery Center Llc has been issued the NPI (National Provider Identifier) 1073791158. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Southern Eye Surgery Center Llc is geographically located?
The Southern Eye Surgery Center Llc is physically situated at the following location: 1420 S 28Th Ave, Hattiesburg, MS, 394023107.
What is the area of specialization for Southern Eye Surgery Center Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southern Eye Surgery Center Llc is Ophthalmologic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 261Qs0132X.
On what date was the 1073791158 assigned to Southern Eye Surgery Center Llc?
The Southern Eye Surgery Center Llc was issued its 1073791158 on 2008-01-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Southern Eye Surgery Center Llc most recently updated or revised?
The information pertaining to Southern Eye Surgery Center Llc, including its address, specialty, and other relevant details, was last updated or revised on 2009-01-15.