Organization
HATTIESBURG EYE CLINIC CATARACT & LASIK SURGERY CENTER, LLC
Active
Organization
HATTIESBURG EYE CLINIC CATARACT & LASIK SURGERY CENTER, LLC
Active
Other names
Hattiesburg Eye Clinic Cataract & Lasik Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE SMITH (ADMINISTRATOR)
(601) 268-5910
Entity
Organization
Contact information
Practice address
103 MILLSAPS DR, HATTIESBURG, MS 39402-1348
(601) 268-9959
Mailing address
103 MILLSAPS DR, HATTIESBURG, MS 39402-1348
(601) 268-9959
(601) 268-9947
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03922537
—
MS
01
—
7299623
AETNA
MS
Enumeration date
11/01/2006
Last updated
08/12/2014
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