# JACKSON EYE ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JACKSON EYE ASSOCIATES PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164428868
- **Legal business name:** JACKSON EYE ASSOCIATES PLLC
- **Authorized official:** BENJAMIN M HIGGINBOTHAM (AO)
- **Authorized official phone:** (601) 353-2020

## Contact information

- **Practice address:** 1026 BAPTIST CIR STE 100, MADISON, MS 39110-2033
- **Practice address phone:** (601) 353-2020
- **Practice address fax:** (601) 352-5988
- **Mailing address:** 1026 BAPTIST CIR STE 100, MADISON, MS 39110-2033
- **Mailing address phone:** (601) 353-2020
- **Mailing address fax:** (601) 352-5988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 0506678 | MS | Yes |

## Other

- **Enumeration date:** 06/27/2005
- **Last updated:** 05/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03189030 | — | MS |
| 05 | — | 529921670 | — | AL |