Southern Vision Center Gulfport LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SOUTHERN VISION CENTER GULFPORT LLC

Practice address

351 Cowan Rd
Gulfport, MS 39507-2019

Phone

(228) 896-1120

Fax

(228) 896-1332

NPI assigned

Jun 23, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kiper Nelson, MDNPI 1548263312

Title

Managing Director

Phone

(601) 606-4307

Specialties & licenses 1

Addresses

Other names 1

• Southern Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiper Cecil Nelson, M.D.

  • Ophthalmology Physician
  • Hattiesburg, MS
  • NPI 1548263312
  Medicare reassignment Care Compare group NPD Authorized official
• Katherine Elizabeth Reynolds, OD

  • Optometrist
  • Hattiesburg, MS
  • NPI 1003433467
  Medicare reassignment Care Compare group NPD
• Wade Tucker, M.D.

  • Ophthalmology Physician
  • Hattiesburg, MS
  • NPI 1598299810
  Medicare reassignment Care Compare group NPD
• Edward Langlow, MD

  • Ophthalmology Physician
  • Mandeville, LA
  • NPI 1407853401

  MS

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1073299244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 COWAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072019",
            "telephone_number": "228-896-1120",
            "fax_number": "228-896-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 COWAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072019",
            "telephone_number": "228-896-1120",
            "fax_number": "228-896-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN VISION CENTER GULFPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KIPER",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "601-606-4307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Pharmaceutical Corporation
• Southern Pro Read, LLC
• Southern Prosthetic Care LLC
• Southern Urology Associates LLC
• Southern Urology Associates LLC
• Mae Ditta Spahr IX, CRNA
• Spark Counseling Center, LLC
• Michael Todd Spataro, M.D.
• Kristian Nicole Spear, NP
• Meagan Spear, M.D

• Ophthalmology Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.