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Southern Eye Care of Vicksburg, P.A.

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Company Details

Name: Southern Eye Care of Vicksburg, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 15 Apr 2022 (3 years ago)
Business ID: 1335305
ZIP code: 39183
County: Warren
State of Incorporation: MISSISSIPPI
Principal Office Address: 1206 Mission 66Vicksburg, MS 39183

Agent

Name Role Address
Steven T Reed Agent 450 5th Avenue SW, PO Box 962, Magee, MS 39111

Incorporator

Name Role Address
Don Goode Incorporator 141 Township Avenue, Suite 300, Ridgeland, MS 39157

President

Name Role Address
Steven Reed President 450 Fifth Avenue SW, Magee, MS 39111

National Provider Identifier

NPI Number:
1558089979
Certification Date:
2022-08-22

Authorized Person:

Name:
JAMIE N YALIAN
Role:
INSURANCE ADMIN
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report Filed 2024-02-10 Annual Report For Southern Eye Care of Vicksburg, P.A.
Annual Report Filed 2023-06-01 Annual Report For Southern Eye Care of Vicksburg, P.A.
Formation Form Filed 2022-04-15 Formation For Southern Eye Care of Vicksburg, P.A.

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Date of last update: 17 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website