Organization
SIMMONS EYE CLINIC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE SIMMONS JR. M.D. (OWNER)
(601) 823-3098
Entity
Organization
Contact information
Practice address
121 S RAILROAD AVE, BROOKHAVEN, MS 39601-3372
(601) 823-3098
(601) 823-3099
Mailing address
121 S RAILROAD AVE, BROOKHAVEN, MS 39601-3372
(601) 823-3098
(601) 823-3099
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17670
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06131738
—
MS
05
—
06428569
—
MS
Enumeration date
03/14/2007
Last updated
06/30/2010
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