Provider Type Icon

EYECARE PROFESSIONALS PA NPI 1932224748


NPI Information

NPI: 1932224748
Provider Name: EYECARE PROFESSIONALS PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 25D2050135

Address:
1501 LAKELAND DRIVE
SUITE 100
JACKSON, MS
ZIP 39216
Phone: (601) 366-1085
Get Directions

EYECARE PROFESSIONALS PA 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. EYECARE PROFESSIONALS PA NPI is 1932224748. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1501 LAKELAND DRIVE
SUITE 100
JACKSON, MS
ZIP 39216-848
Phone: (601) 366-1085
Fax: (601) 366-5186

The provider's authorized official is Kirk R. Jeffreys .
The authorized official title is President and has the following contact phone number (601) 366-1085.

The CLIA number assigned to this NPI record is 25D2050135 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 11/27/2012.


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
1207W00000XOphthalmology14957MISSISSIPPIYes

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
109016216MEDICAIDMISSISSIPPI
2G90204MEDICARE UPINMISSISSIPPI
35198600001MEDICARE NSC
4180000283MEDICARE PIN

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.