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Organization

GREEN EYE INSTITUTE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIPER NELSON MD (PHYSICIAN OWNER)
(601) 268-5144
Entity
Organization

Contact information

Practice address
2901 ARLINGTON LOOP, HATTIESBURG, MS 39401-7101
(601) 268-5144
(601) 268-5149
Mailing address
2901 ARLINGTON LOOP, HATTIESBURG, MS 39401-7101
(601) 268-5144
(601) 268-5149

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
207W00000X
Ophthalmology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09011221
MS
01
B0259
MCARE RAILROAD
Enumeration date
07/31/2006
Last updated
11/02/2022
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