OrganizationActive
Eye Care Surgery Center of Southaven,llc
NPI 1780767673 · Ambulatory Surgical Clinic/Center · Southaven, MS
Provider details
- NPI number
- 1780767673
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Subba Gollamudi, Medical Director
Practice location
7600 Airways Blvd
Suite D
Southaven, MS 38671-5138
Phone: (662) 349-7477
Fax: (662) 349-7478
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.