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Eye Care Surgery Center of Olive Branch,LLC

Ambulatory Surgical Clinic/Center in Olive Branch, MS · enumerated 2006 · authorized official Subba Gollamudi, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720161771

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Registry record

Entity type Organization (Type 2)
Legal business name Eye Care Surgery Center of Olive Branch,LLC
Practice address 6947 Crumpler Blvd, Suite 105, Olive Branch, MS, 38654
Phone (662) 893-3305
Fax (662) 893-3306
Enumeration date Oct 23, 2006
Last updated in NPPES Jul 25, 2022

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Subba Gollamudi
Title Medical Director
Phone (901) 685-2200

Other identifiers

Identifier Type State Issuer
03058373 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Eye Care Surgery Center of Olive Branch,LLC?
NPPES lists Subba Gollamudi (Medical Director) as the authorized official for this organization.
What is the NPI number for Eye Care Surgery Center of Olive Branch,LLC?
The NPI for Eye Care Surgery Center of Olive Branch,LLC is 1720161771, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-25.