J & R Optical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

J & R OPTICAL

Practice address

1461 Canton Mart Rd
Suite a
Jackson, MS 39211-5413

Phone

(601) 977-0272

Fax

(601) 977-0689

NPI assigned

Dec 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Wendy L Cooper

Title

Manager

Phone

(601) 977-0272

Specialties & licenses 1

Addresses

Other names 1

• Odom's Optical Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1629136734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 CANTON MART RD",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115413",
            "telephone_number": "601-977-0272",
            "fax_number": "601-977-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 CANTON MART RD",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115413",
            "telephone_number": "601-977-0272",
            "fax_number": "601-977-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & R OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-977-0272",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odom's Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Foreman Ivison, NP-C
• Kyla Ivory, RN
• Jennifer M Ivy, LPTA
• Chinenye Ogoma Iwuchukwu, M.D
• Rathi V Iyer, M.D.
• Elizabeth Jabaley, MD
• Roya Jaberian Doraji, DO
• Jackiedees Transportation
• Jackson Anesthesia Associates PA
• Jackson Anesthesia Pain Center, LLC

• Durable Medical Equipment & Medical Supplies in Jackson, MS
• Providers in Jackson, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.