Organization Active NPI

Jackson Eye Associates PLLC

  • Durable Medical Equipment & Medical Supplies
  • Madison, MS
National Provider Identifier
1215089776
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4164 Issued in MS
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 PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CH0425OtherMSMEDICARE RR

Other names 1

  • JEA Optical Madison Doing business as

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.

Verify at the official NPI Registry.