SOUTHERN EYE CENTER P.A. II
NPI 1376725259
Ophthalmology in Hattiesburg, MS
- Organization
- Ophthalmology
- CLIA Number: 25D0884478
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 03-31-2026
About SOUTHERN EYE CENTER P.A. II
This page provides the complete NPI Profile along with additional information for Southern Eye Center P.a. Ii, a provider established in Hattiesburg, Mississippi operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1376725259 assigned on December 2007. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. John Weems (Administrator)
- NPI
- 1376725259 Verify this NPI
- Provider Name
- SOUTHERN EYE CENTER P.A. II
- Entity Type
- Organization
- Location Address
- 1420 S 28TH AVE HATTIESBURG, MS 39402
- Location Phone
- (601) 264-3937
- Location Fax
- (601) 264-5930
- Mailing Address
- 1420 S 28TH AVE HATTIESBURG, MS 39402
- Mailing Phone
- (601) 264-3937
- Mailing Fax
- (601) 264-5930
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-03-2007
- Last Update Date
- 12-03-2007
- Code Navigator
Ophthalmologists like Southern Eye Center P.a. Ii specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- MS
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C02143 | OTHER (01) | MS | MEDICARE GROUP SUBMITTER |
| 09014315 | MEDICAID (05) | MS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0884478
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- April 01, 2024
- Certificate Expiration Date
- March 31, 2026
- Laboratory Director
- DR. KIPER C. NELSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southern Eye Center P.a. Ii to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
HATTIESBURG, MS 39402
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376725259, enumerated as an "organization" on December 03, 2007.
The provider is located at 1420 S 28TH AVE HATTIESBURG, MS 39402 and the phone number is (601) 264-3937.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
