Organization
MS EYE CARE, PA
Active
Parent organization
MS EYE CARE, PA
Other names
MISSISSIPPI EYE CARE PHILADELPHIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MS EYE CARE, PA
Authorized official
JACOB A IVEY OD (OD/OWNER)
(601) 656-3296
Entity
Organization
Contact information
Practice address
1054 AIRPARK RD, PHILADELPHIA, MS 39350-3368
(601) 656-3296
(601) 656-8164
Mailing address
PO BOX 628, PHILADELPHIA, MS 39350
(662) 446-9000
(662) 779-4030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09011905
—
MS
Enumeration date
10/03/2006
Last updated
07/03/2023
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