NPI 1023572823
Jea Optical LLC
Practice location
- Address
- 102 Clinton Pkwy, Clinton, MS 39056-4730
- Phone
- (601) 924-9750
- Fax
- (601) 925-9791
- Mailing address
- 1200 N State St STE 330, Jackson, MS 39202-2027
Authorised official
- Name
- Robert Amory Mallette
- Title
- Managing Partner
- Phone
- (601) 353-2020
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1023572823
- Entity type
- Organization
- NPI issued
- 25 Jan 2019
- Record last updated
- 25 Jan 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.