Organization
JACKSON EYE ASSOCIATES PLLC
Active
Parent organization
JACKSON EYE ASSOCIATES PLLC
Other names
JEA Optical Madison
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON EYE ASSOCIATES PLLC
Authorized official
BENJAMIN M HIGGINBOTHAM (AO)
(601) 353-2020
Entity
Organization
Contact information
Practice address
1026 BAPTIST CIR STE 100, MADISON, MS 39110-2033
(601) 353-2020
(601) 352-0037
Mailing address
1026 BAPTIST CIR STE 100, MADISON, MS 39110-2033
(601) 353-2020
(601) 352-0037
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4164
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH0425
MEDICARE RR
MS
Enumeration date
01/17/2007
Last updated
05/15/2026
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