NPI 1265581599

Lakeland Optical, LLP

Organisation Eyewear Supplier Jackson, MS

Practice location

Address: 3000 Old Canton Rd Suite 100, Jackson, MS 39216-4200
Phone: (601) 982-9477
Fax: (601) 982-4401

Authorised official

Name: Windell Lee Lewis
Title: Manager
Phone: (601) 982-9477

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence C08463429 (MS)

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Registry record

NPI: 1265581599
Entity type: Organization
NPI issued: 9 Jan 2007
Record last updated: 10 Jul 2015

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.