NPI 1467622605

Custom Optical of Fondren LLC

Organisation Eyewear Supplier Jackson, MS

Practice location

Address: 661 Duling Ave, Jackson, MS 39216-4008
Phone: (601) 362-6675
Fax: (601) 362-5767

Authorised official

Name: Patricia Hammons
Title: Owner/Optician
Phone: (601) 362-6675

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Mississippi →

Registry record

NPI: 1467622605
Entity type: Organization
NPI issued: 4 Mar 2008
Record last updated: 29 Apr 2022

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.