Individual
DR. JON BANTUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2011 HIGHWAY 61 N, VICKSBURG, MS 39183-8227
(601) 630-9199
(601) 630-0426
Mailing address
2011 HIGHWAY 61 N, VICKSBURG, MS 39183-8227
(601) 630-9199
(601) 630-0426
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1129
MS
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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