Medical Mall Vision Clinic in Jackson - Optometrist
Medical Mall Vision Clinic - NPI 1093899023
Medical Mall Vision Clinic is a Optometrist in Jackson, Mississippi. Medical Mall Vision Clinic practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Medical Mall Vision Clinic is 1093899023. The last update date is 2020-08-22.
Medical Mall Vision Clinic's current location address is 350 W Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6013669020. The mailing address for Medical Mall Vision Clinic is 350 W Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medical Mall Vision Clinic |
|---|---|
| Address | 350 W Woodrow Wilson Ave, Jackson, Mississippi |
| Phone Number | 6013669020 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Craig Boyce W |
| Telephone Number | 6019575252 |
NPI Number Detail
| NPI Number | 1093899023 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 350 W Woodrow Wilson Ave |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392137681 |
| Phone Number | 6013669020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4028327 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Medical Mall Vision Clinic by the Centers for Medicare & Medicaid Services?
The Medical Mall Vision Clinic has been issued the NPI (National Provider Identifier) 1093899023. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Medical Mall Vision Clinic?
The Medical Mall Vision Clinic is physically situated at 350 W Woodrow Wilson Ave, in the city of Jackson, state of MS, with the postal code 392137681.
What is Medical Mall Vision Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Medical Mall Vision Clinic's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did Medical Mall Vision Clinic receive its 1093899023 assignment from the Centers for Medicare & Medicaid Services?
The Medical Mall Vision Clinic was assigned its 1093899023 on 2006-10-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Medical Mall Vision Clinic most recently updated or revised?
The information pertaining to Medical Mall Vision Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.