OrganizationActive
Eye Care Surgery Center of Olive Branch,llc
NPI 1720161771 · Ambulatory Surgical Clinic/Center · Olive Branch, MS
Provider details
- NPI number
- 1720161771
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Subba Gollamudi, Medical Director
Practice location
6947 Crumpler Blvd
Suite 105
Olive Branch, MS 38654-1922
Phone: (662) 893-3305
Fax: (662) 893-3306
Mailing address
825 Ridge Lake Blvd
Memphis, TN 38120-9411
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2022-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.