Organization
THE EYE SURGERY AND LASER CENTER
Active
Organization
THE EYE SURGERY AND LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE MOORE MD (MEDICAL DIRECTOR)
(601) 985-9120
Entity
Organization
Contact information
Practice address
501 BAPTIST DR STE 220, MADISON, MS 39110-2031
(601) 985-9120
(601) 985-9122
Mailing address
501 BAPTIST DR STE 220, MADISON, MS 39110-2031
(601) 985-9120
(601) 985-9122
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
07279
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000770598
—
MS
Enumeration date
10/06/2006
Last updated
06/18/2026
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