Organization Active NPI

Mississippi Vision Center

  • Optometrist
  • Jackson, MS
National Provider Identifier
1235553322
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MS828 Issued in MS
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.