Jackson Eye Institute Pllc

LBN: Jackson Eye Institute Pllc
Jackson Eye Institute Pllc is an health care organization with primary practice located at 2500 Lakeland Dr Ste A, Jackson MS 39232. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Jackson Eye Institute Pllc can be contacted via phone (601) 939-0079, or through Bruce, James Alvin via phone (601) 939-0079.

Contact Information

Primary practice address
2500 Lakeland Dr Ste A Jackson MS 39232
Phone: (601) 939-0079
Fax: (601) 939-6823
Website:
Map and Directions
Authorized official contact:
Name: Bruce, James Alvin Doctor of Medicine (MD)
Phone: (601) 939-0079

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1467555250
LBN Legal business name Jackson Eye Institute Pllc
DBA Doing business as
Authorized official Bruce, James Alvin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Oct 20th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467555250 NPPES
Mississippi MEDICAID 07930325

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