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Southern Eye Surgery Center, LLC

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Company Details

Name: Southern Eye Surgery Center, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 10 May 2007 (18 years ago)
Business ID: 912108
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 1420 S 28th Ave., 1420 S 28th Ave.Hattiesburg, MS 39402
Historical names: Southern Eye Ambulatory Surgery Center, LLC

Agent

Name Role Address
Jerry Orloff Agent 1420 South 28th Avenue, Hattiesburg, MS 39402

Organizer

Name Role Address
Cameron Griffith Organizer 1420 S 28TH AVE., HATTIESBURG, MS 39402

Member

Name Role Address
Cameron Griffith Member 1420 S 28th Ave., Hattiesburg, MS 39402

Manager

Name Role Address
Kiper Nelson Manager 1420 S 28TH AVE., HATTIESBURG, MS 39402
Jaime Jimenez Manager 1420 S 28TH AVE., HATTIESBURG, MS 39402

National Provider Identifier

NPI Number:
1417112277

Authorized Person:

Name:
LYNN B MCMAHAN
Role:
MANAGING MEMBER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-02 Annual Report For Southern Eye Surgery Center, LLC
Annual Report LLC Filed 2024-02-29 Annual Report For Southern Eye Surgery Center, LLC
Amendment Form Filed 2023-04-06 Amendment For Southern Eye Surgery Center, LLC
Annual Report LLC Filed 2023-02-20 Annual Report For Southern Eye Surgery Center, LLC
Annual Report LLC Filed 2022-02-14 Annual Report For Southern Eye Surgery Center, LLC
Annual Report LLC Filed 2021-01-15 Annual Report For Southern Eye Surgery Center, LLC
Annual Report LLC Filed 2020-03-06 Annual Report For Southern Eye Surgery Center, LLC
Amendment Form Filed 2019-10-03 Amendment For Southern Eye Surgery Center, LLC
Annual Report LLC Filed 2019-01-16 Annual Report For Southern Eye Surgery Center, LLC
Amendment Form Filed 2018-05-30 Amendment For Southern Eye Surgery Center, LLC

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Date of last update: 26 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website