SOUTHERN EYE SURGERY CENTER LLC NPI 1073791158

NPI Information

  • NPI: 1073791158
  • Provider Name: SOUTHERN EYE SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QS0132X
  • Specialization: Ophthalmologic Surgery
  • Entity Type: Organization
  • Doing Business As: SOUTHERN EYE CENTER OF EXCELLENCE
  • Address: 1420 S 28TH AVE
    HATTIESBURG, MS
    ZIP 39402
  • Phone: (601) 264-3937

Map and Directions

Get Directions

NPI Details

SOUTHERN EYE SURGERY CENTER LLC is an ophthalmologic surgery clinic center in Hattiesburg, MS. SOUTHERN EYE SURGERY CENTER LLC NPI is 1073791158. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Eye Center Of Excellence.

The provider's business location address is:

1420 S 28TH AVE
HATTIESBURG, MS
ZIP 39402-107
Phone: (601) 264-3937
Fax: (601) 264-5930

The provider's authorized official is Lynn B Mcmahan .
The authorized official title is President and has the following contact phone number (601) 264-3937.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Injection, mitomycin, 5 mg (HCPCS:J9280)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Insertion of eye fluid drainage device (HCPCS:66183)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
  • Destruction of eye fluid (vitreous) between lens and retina using a laser (HCPCS:67039)
  • Revision or repair of operative wound of eye (HCPCS:66250)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Removal of membrane of retina (HCPCS:67041)

The enumeration date for this NPI number is 1/31/2008 and was last updated on 1/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0132XClinic/CenterOphthalmologic Surgery010MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100770066MEDICAIDMISSISSIPPI
2512G490003OTHERMISSISSIPPIMEDICARE PTAN FOR SOUTHERN EYE SURGERY CENTER LLC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.