SOUTHERN EYE CENTER OF EXCELLENCE
NPI 1073791158
Clinic/Center - Ophthalmologic Surgery in Hattiesburg, MS

Q: What is Southern Eye Surgery Center LLC's NPI number?

The NPI number for Southern Eye Surgery Center LLC is 1073791158. It was assigned to this organization in the NPPES registry on January 31, 2008. The provider is doing business as Southern Eye Center Of Excellence.

Q: What is Southern Eye Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ophthalmologic Surgery, with taxonomy code 261QS0132X.

Active since January 31, 2008CLIA Certified · 2 labs

1420 S 28TH AVE, HATTIESBURG, MS 39402(601) 264-3937(601) 264-5930 Get Directions Write a Review

NPPES record last updated: January 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southern Eye Center Of Excellence NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN EYE CENTER OF EXCELLENCE (NPI 1073791158) is a healthcare organization registered as an ophthalmologic surgery in Hattiesburg, Mississippi and active in the NPI registry since January 2008. The organization holds 2 active CLIA laboratory certificates and lists Lynn B Mcmahan, President, as its authorized official.

NPPES Registry Identity

NPI1073791158

Entity TypeOrganization

Primary Taxonomy261QS0132X

Legal Business NameSOUTHERN EYE SURGERY CENTER LLC

Location Address1420 S 28TH AVEHattiesburg, MS 39402-3107

Mailing Address1420 S 28th AveHattiesburg, MS 39402-3107 · (601) 264-3937 · Fax (601) 264-5930

Phone(601) 264-3937

Fax(601) 264-5930

Organization SubpartNo

Authorized OfficialLynn B McmahanPresident · (601) 264-3937

Enumeration DateJanuary 31, 2008

Last NPPES UpdateJanuary 15, 2009

✔ NPI 1073791158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ophthalmologic SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0132X

License✔ Licensed in MS · 010

1420 S 28TH AVE, Hattiesburg, MS 39402

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Other Names 1

Doing Business AsSouthern Eye Center Of Excellence

Other Identifiers 2

Medicaid00770066MS

Other512G490003MS · Medicare Ptan For Southern Eye Surgery Center Llc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0884478

Southern Eye Surgery Center · Hattiesburg, MS

Active · expires Mar 31, 2028

CLIA Number25D0884478

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 1, 2026

Certificate Expiration DateMarch 31, 2028

Laboratory DirectorDr. Kiper C. Nelson

Laboratory Phone(601) 264-3937

Laboratory LocationSouthern Eye Surgery Center1420 South 28th Avenue, Hattiesburg, MS 39402

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2121649

Southern Eye Surgery And Laser Center LLC · Laurel, MS

Active · expires Nov 9, 2026

CLIA Number25D2121649

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateNovember 10, 2024

Certificate Expiration DateNovember 9, 2026

Laboratory DirectorKiper C. Nelson

Laboratory Phone(601) 264-3937

Laboratory LocationSouthern Eye Surgery And Laser Center LLC1923 W 10th St, Laurel, MS 39440

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

553 services309 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

414 services256 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

149 services90 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

61 services49 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

50 services29 patients

Insertion of eye fluid drainage device 66183

The insertion of an eye fluid drainage device is a procedure to manage eye pressure. A small device is placed in the eye to help drain excess fluid, reducing pressure that can damage the optic nerve and lead to vision loss. This procedure is often used for glaucoma treatment.

47 services40 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

44 services23 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

25 services14 patients

Removal of membrane of retina 67041

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

19 services17 patients

Destruction of eye fluid (vitreous) between lens and retina using a laser 67039

This procedure involves applying a laser to the eye's vitreous fluid, located between the lens and retina. The laser's heat destroys the vitreous, helping to treat specific eye conditions. The process is safe, typically painless, and can significantly improve vision quality.

17 services14 patients

Revision or repair of operative wound of eye 66250

A revision or repair of an operative wound of the eye is a procedure to fix complications from a previous eye surgery. It involves addressing issues like infection, healing problems, or incorrect positioning of surgical materials. The goal is to promote proper healing and restore optimal eye function.

16 services14 patients

Complex repair of detached retina and drainage of eye fluid between lens and retina 67113

This procedure involves reattaching your detached retina, a vital layer at the back of your eye. Simultaneously, excess fluid between your lens and retina is drained. This helps restore vision and prevent further eye damage.

16 services13 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

12 services12 patients

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY GRUBBS, NP-C, PLLC

Nurse Practitioner