Organization
SOUTHERN EYE CENTER P.A. II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WEEMS (ADMINISTRATOR)
(601) 264-3937
Entity
Organization
Contact information
Practice address
1420 S 28TH AVE, HATTIESBURG, MS 39402-3107
(601) 264-3937
(601) 264-5930
Mailing address
1420 S 28TH AVE, HATTIESBURG, MS 39402-3107
(601) 264-3937
(601) 264-5930
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014315
—
MS
01
—
C02143
MEDICARE GROUP SUBMITTER
MS
Enumeration date
12/03/2007
Last updated
12/03/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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