Jackson Eye Associates PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4163 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) 714-5110

NPI assigned

Jan 17, 2007

Organization subpart

Yes

Parent organization

JACKSON EYE ASSOCIATES PLLCAs reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• JEA Madison Office Doing business as

Tax ID family

V John Ford III MD2 organizations share this tax ID, including this one

Part of

V John Ford III MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jackson Eye Associates PLLC

  • Ophthalmology Physician
  • Madison, MS
  • NPI 1164428868
  NPD tax ID

Locations

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": "1972655421",
    "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": "601-714-5110"
        },
        {
            "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": "601-714-5110"
        }
    ],
    "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": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "4163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03189030",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEA Madison Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ona Irby, MOTR/L
• Brad Ishee
• J-P Medsupplies, LLC
• Jackson Eye Associates PLLC
• Jackson Eye Associates PLLC
• Adam Wayne Jackson, DC
• Lavar Jackson
• Melissa B Jackson, FNP
• William Dotie Jackson, MD
• Julia Lane Jacobi, DMD

• Ophthalmology Physician in Madison, MS
• Providers in Madison, MS by specialty
• Ophthalmology Physician in Mississippi

• 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.