# SOUTHERN VISION CENTER GULFPORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Vision Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073299244
- **Authorized official:** KIPER NELSON MD (MANAGING DIRECTOR)
- **Authorized official phone:** (601) 606-4307

## Contact information

- **Practice address:** 351 COWAN RD, GULFPORT, MS 39507-2019
- **Practice address phone:** (228) 896-1120
- **Practice address fax:** (228) 896-1332
- **Mailing address:** 351 COWAN RD, GULFPORT, MS 39507-2019
- **Mailing address phone:** (228) 896-1120
- **Mailing address fax:** (228) 896-1332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2023
- **Last updated:** 07/02/2025