NPI: 1104829597 · GULFPORT, MS 39507 · Ambulatory Surgical Clinic/Center · NPI assigned 05/31/2005
| Authorized Official | NELSON, KIPER (OWNER) |
| NPI Enumeration Date | 05/31/2005 |
Other providers sharing the same authorized official: NELSON, KIPER
| Provider | City | State | Total Paid |
|---|---|---|---|
| SOUTHERN EYE PHYSICIANS CENTER, LLC | HATTIESBURG | MS | $495K |
| GREEN EYE INSTITUTE PA | HATTIESBURG | MS | $61K |
| SOUTHERN EYE SURGERY AND LASER CENTER, LLC | LAUREL | MS | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 206 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 206 | 24 | $0.00 |