JACKSON EYE ASSOCIATES PLLC (NPI# 1215089776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215089776 |
| Entity Type | Organization |
| Organization Name | JACKSON EYE ASSOCIATES PLLC |
| Other Organization Name | JEA OPTICAL MADISON |
| Practice Address |
401 Baptist Dr Ste 408 Madison MS 39110-2013 |
| Mailing Address |
1190 N State St Suite 101 Jackson MS 39202-2413 |
| Practice Telephone | 6018532020 |
| Practice Fax Number | 6018532728 |
| Mailing Telephone | 6013520025 |
| Mailing Fax Number | 6013520037 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-06-19 |
| Authorized Official Name | DR. JOHN H MCVEY (MANAGING PARTNER) |
| Authorized Official Telephone | 6013520025 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | JACKSON EYE ASSOCIATES PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 4164 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE RR | CH0425 | 01 |
| Other Name | Type Code |
|---|---|
| JEA Optical Madison | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184671489 | Jackson Eye Associates Pllc | Clinic/Center | 102 Clinton Pkwy, Third Floor, Clinton, MS 39056-4730 | 2006-05-30 |
| 1972655421 | Jackson Eye Associates Pllc | Ophthalmology | 401 Baptist Drive, Suite 408, Madison, MS 39110 | 2007-01-17 |
| 1831137009 | Jackson Eye Associates Pllc | Durable Medical Equipment & Medical Supplies | 102 Clinton Pkwy, Fl 3, Clinton, MS 39056-4730 | 2006-06-02 |
| 1881694354 | Jackson Eye Associates Pllc | Durable Medical Equipment & Medical Supplies | 1190 N State St, Suite 101, Jackson, MS 39202-2413 | 2005-07-27 |
| 1164428868 | Jackson Eye Associates Pllc | Ophthalmology | 1200 N State St, Suite 330, Jackson, MS 39202-2000 | 2005-06-27 |
| Street Address |
401 BAPTIST DR STE 408 |
| City | MADISON |
| State | MS |
| Zip Code | 39110-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730199290 | Bruce T Black | Family Medicine | 401 Baptist Dr, Suite 104, Madison, MS 39110-2009 | 2006-08-08 |
| 1730554627 | Charles Thomas | Physical Therapy Assistant | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2015-12-03 |
| 1407274426 | Ashley W Mcglawn | Pediatrics | 401 Baptist Dr, Madison, MS 39110-2009 | 2014-04-07 |
| 1679821409 | Rachel Bradshaw | Physical Therapist | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2012-08-28 |
| 1003177551 | Jennifer S Jones | Physical Therapy Assistant | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2012-05-31 |
| 1982988812 | Baptist Pt - Madison | Physical Therapist | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2011-10-11 |
| 1104121821 | Brian Matthew Hendley | Community Health Worker | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2011-01-12 |
| 1811292501 | Mark Leslie Grogan | Physical Therapy Assistant | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2011-01-11 |
| 1073830790 | Timothy Chin-yu Chen | Family Medicine | 401 Baptist Dr, Suite 104, Madison, MS 39110-2009 | 2010-04-21 |
| 1437314515 | Napdocs LLC | Physiological Laboratory | 401 Baptist Dr, Suite 40, Madison, MS 39110-2009 | 2008-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180414 | United Medical Providers, Inc | Durable Medical Equipment & Medical Supplies | 600 Medical Park Dr Ste 115, Madison, TN 37115-4253 | 2019-12-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1174088983 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 7129 Wall Triana Highway, Madison, AL 35757 | 2019-02-06 |
| 1255818431 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 350 Hughes Rd, Madison, AL 35758-1102 | 2018-07-20 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1891213476 | Mending Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3111 E Washington Ave Ste 103, Madison, WI 53704-4330 | 2017-09-05 |
| 1114443892 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 432 S Park St, Madison, WI 53715-1618 | 2017-08-15 |
| 1912421520 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1770 Eatonton Rd, Madison, GA 30650-4638 | 2017-07-26 |
| 1548634611 | Total Healthcare Solutions LLC | Durable Medical Equipment & Medical Supplies | 421 Business Park Dr, Madison, MS 39110-9498 | 2015-11-30 |
| 1215308879 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7520 Highway 72 W, Madison, AL 35758-9554 | 2015-10-08 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on JACKSON EYE ASSOCIATES PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.