Organization
MS EYE CARE, PA
Active
Parent organization
MS EYE CARE PA
Other names
MISSISSIPPI EYE CARE NEWTON
Organization subpart
Yes
Provider details
NPI number
Legal business name
MS EYE CARE PA
Authorized official
JACOB A IVEY OD (OD/OWNER)
(601) 683-3241
Entity
Organization
Contact information
Practice address
107 DECATUR ST, NEWTON, MS 39345-2309
(601) 683-3241
(601) 683-3233
Mailing address
PO BOX 628, PHILADELPHIA, MS 39350
(662) 446-9000
(662) 779-4030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
560
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087007
—
MS
05
—
09351503
—
MS
Enumeration date
02/07/2007
Last updated
07/03/2023
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