| NPI | 1316020043 |
|---|---|
| Doing Business As | SOUTHERN EYE CENTER, PC |
| Entity Type | Organization |
| Authorized Contact | MARK JOSEPH EANES President 229-247-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 025970) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002069) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-11-01 |