EYE CARE SURGERY CENTER OF OLIVE BRANCH,LLC is an ambulatory surgical clinic center in Olive Branch, MS. EYE CARE SURGERY CENTER OF OLIVE BRANCH,LLC NPI is 1720161771. The provider is registered as an organization entity type.
The provider's business location address is:
6947 CRUMPLER BLVD
SUITE 105
OLIVE BRANCH, MS
ZIP 38654-922
Phone: (662) 893-3305
Fax: (662) 893-3306
The provider's authorized official is Subba R. Gollamudi .
The authorized official title is Medical Director and has the following contact phone number (901) 685-2200.
The CLIA number assigned to this NPI record is 25D1024744 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/23/2006 and was last updated on 3/15/2018.