Provider Type Icon

JACKSON EYE INSTITUTE PLLC NPI 1467555250


NPI Information

NPI: 1467555250
Provider Name: JACKSON EYE INSTITUTE PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2500 LAKELAND DR
STE A
JACKSON, MS
ZIP 39232
Phone: (601) 939-0079
Get Directions

JACKSON EYE INSTITUTE PLLC is an ophthalmology in Jackson, MS. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. JACKSON EYE INSTITUTE PLLC NPI is 1467555250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 LAKELAND DR
STE A
JACKSON, MS
ZIP 39232
Phone: (601) 939-0079
Fax: (601) 939-6823

The provider's authorized official is James Alvin Bruce .
The authorized official title is Owner and has the following contact phone number (601) 939-0079.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 10/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C03145MEDICARE ID-TYPE UNSPECIFIED
207930325MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.