Active NPI
Jackson Eye Associates PLLC
- Durable Medical Equipment & Medical Supplies
- Madison, MS
National Provider Identifier
1215089776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 4164
- Legal business name
- JACKSON EYE ASSOCIATES PLLC
- Practice address
- 1026 Baptist Cir Ste 100
Madison, MS 39110-2033 - Phone
- (601) 353-2020
- Fax
- (601) 352-0037
- NPI assigned
- Jan 17, 2007
- Organization subpart
- Yes
- Parent organization
- JACKSON EYE ASSOCIATES PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin M Higginbotham
- Title
- Ao
- Phone
- (601) 353-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4164 | MS | Primary |
Addresses
Primary practice location
1026 Baptist Cir Ste 100
Madison, MS 39110-2033
Mailing address
1026 Baptist Cir Ste 100
Madison, MS 39110-2033
Phone (601) 353-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH0425 | Other | MS | MEDICARE RR |
Other names 1
- JEA Optical Madison
National Provider Directory
National Provider Directory- Part of
- V John Ford III MD
Locations
401 Baptist Dr
Ste 408
Madison, MS 39110
Phone (601) 853-2020
1026 Baptist Cir
Ste 100
Madison, MS 39110
Phone (601) 353-2020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778803200000",
"number": "1215089776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 BAPTIST CIR STE 100",
"city": "MADISON",
"state": "MS",
"postal_code": "391102033",
"telephone_number": "601-353-2020",
"fax_number": "601-352-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 BAPTIST CIR STE 100",
"city": "MADISON",
"state": "MS",
"postal_code": "391102033",
"telephone_number": "601-353-2020",
"fax_number": "601-352-0037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON EYE ASSOCIATES PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JACKSON EYE ASSOCIATES PLLC",
"enumeration_date": "2007-01-17",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A",
"authorized_official_last_name": "HIGGINBOTHAM",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "601-353-2020"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "4164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "CH0425",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JEA Optical Madison",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.