Active NPI
Mississippi Vision Center
- Optometrist
- Jackson, MS
National Provider Identifier
1235553322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MS828
- Legal business name
- MISSISSIPPI VISION CENTER
- Practice address
- 2711 Greenway Dr
Ste a
Jackson, MS 39204-3304 - Phone
- (601) 922-9300
- Fax
- (601) 922-6312
- NPI assigned
- Feb 10, 2014
- Last updated
- Feb 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shanna L Jenkins
- Title
- Manager
- Phone
- (601) 853-1998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MS828 | MS | Primary |
Addresses
Primary practice location
2711 Greenway Dr
Ste a
Jackson, MS 39204-3304
Mailing address
2711 Greenway Dr
Ste a
Jackson, MS 39204-3304
Phone (601) 922-9300
National Provider Directory
National Provider DirectoryLocations
2711 Greenway Dr
Ste A
Jackson, MS 39204
Phone (601) 922-9300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Jackson, MS
- NPI 1134261282
-
- Optometrist
- Jackson, MS
- NPI 1326438706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391990400000",
"number": "1235553322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 GREENWAY DR",
"address_2": "STE A",
"city": "JACKSON",
"state": "MS",
"postal_code": "392043304",
"telephone_number": "601-922-9300",
"fax_number": "601-922-6312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 GREENWAY DR",
"address_2": "STE A",
"city": "JACKSON",
"state": "MS",
"postal_code": "392043304",
"telephone_number": "601-922-9300",
"fax_number": "601-922-6312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSISSIPPI VISION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-10",
"last_updated": "2014-02-10",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "SHANNA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "601-853-1998"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "MS828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
- Mississippi State Hospital at Whitfield (Mississippi State Hospital Community Services Mental Health)
- Mississippi Surgical Center LP (Mississippi Surgical Center)
- Mississippi Urology Clinic, PLLC
- Mississippi Urology Outpatient Surgery Center, LLC
- Mississippi Vascular Center, PLLC
- Mitchell Myers, M.D. (Mississippi Headache Center)
- Allison Mitchell, CCC-SLP
- Anna Carol Mitchell, CPNP-AC/PC
- April Layne Mitchell, PMHNP
- April Nicole Mitchell, PCMHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.