# JACKSON EYE INSTITUTE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467555250
- **Authorized official:** JAMES ALVIN BRUCE JR. MD (OWNER)
- **Authorized official phone:** (601) 939-0079

## Contact information

- **Practice address:** 2500 LAKELAND DR, STE A, JACKSON, MS 39232
- **Practice address phone:** (601) 939-0079
- **Practice address fax:** (601) 939-6823
- **Mailing address:** 2500 LAKELAND DR, STE A, JACKSON, MS 39232
- **Mailing address phone:** (601) 939-0079
- **Mailing address fax:** (601) 939-6823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 10/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 07930325 | — | MS |