SOUTHERN EYE SURGERY AND LASER CENTER, LLC (NPI# 1528416641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528416641 |
| Entity Type | Organization |
| Organization Name | SOUTHERN EYE SURGERY AND LASER CENTER, LLC |
| Other Organization Name | SOUTHERN EYE CENTER - LAUREL |
| Practice Address |
1923 W 10th St Laurel MS 39440-2538 |
| Mailing Address |
1420 S 28th Ave Hattiesburg MS 39402-3107 |
| Practice Telephone | 6012643937 |
| Mailing Telephone | 6017050078 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Authorized Official Name | KIPER C NELSON (OWNER, LLC MEMBER) |
| Authorized Official Telephone | 6012643937 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southern Eye Center - Laurel | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295244226 | Southern Eye Surgery and Laser Center, LLC | Anesthesiology | 1923 W 10th St, Laurel, MS 39440-2538 | 2017-09-21 |
| Street Address |
1923 W 10TH ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295244226 | Southern Eye Surgery and Laser Center, LLC | Anesthesiology | 1923 W 10th St, Laurel, MS 39440-2538 | 2017-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387044 | Advanced Anesthesia Services LLC | Clinic/Center | 306 Bradley Rd, Corinth, MS 38834-7047 | 2018-12-17 |
| 1245480482 | Coleman Cataract and Eye Laser Surgery Center, Inc. | Clinic/Center | 2005 Hwy 82 W, Greenwood, MS 38930 | 2008-09-24 |
| 1215014022 | Hattiesburg Eye Clinic Cataract & Lasik Surgery Center, LLC | Clinic/Center | 103 Millsaps Dr, Hattiesburg, MS 39402-1348 | 2006-11-01 |
| 1750390548 | Oxford Eye Surgery Center,l.p | Clinic/Center | 1314 Belk Blvd, Oxford, MS 38655-5302 | 2006-08-08 |
| 1669757761 | Coastal Eye Surgery Center | Clinic/Center | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2011-10-20 |
| 1053649558 | Popps Ferry Out-patient Surgery Center, LLC | Clinic/Center | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2009-11-23 |
| 1891951885 | Mississippi Eye Surgery Center | Clinic/Center | 3434 Bienville Blvd, Ocean Springs, MS 39564-5732 | 2008-07-30 |
| 1073791158 | Southern Eye Surgery Center LLC | Clinic/Center | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2008-01-31 |
| 1336236710 | The Eye Surgery and Laser Center | Clinic/Center | 501 Marshall St, Suite 604, Jackson, MS 39202-1651 | 2006-10-06 |
| 1164472031 | Tupelo Surgery Center, L.L.C. | Clinic/Center | 3353 N Gloster St, Suite 300, Tupelo, MS 38804-9735 | 2006-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.