NPI 1568254100

State of Mississippi - University of Mississippi Medical Center

Organisation Eyewear Supplier Jackson, MS

Practice location

Address: 764 Lakeland Dr, Jackson, MS 39216-4651
Phone: (601) 984-5020
Mailing address: PO Box 11407, Birmingham, AL 35246-2130

Authorised official

Name: Jeffrey Grimsley
Title: Associate Cfo - Clinical Operations
Phone: (601) 815-6270

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Mississippi →

Registry record

NPI: 1568254100
Entity type: Organization
NPI issued: 20 May 2025
Record last updated: 20 May 2025

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.