Organization
JACKSON EYE INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ALVIN BRUCE JR. MD (OWNER)
(601) 939-0079
Entity
Organization
Contact information
Practice address
2500 LAKELAND DR, STE A, JACKSON, MS 39232
(601) 939-0079
(601) 939-6823
Mailing address
2500 LAKELAND DR, STE A, JACKSON, MS 39232
(601) 939-0079
(601) 939-6823
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07930325
—
MS
Enumeration date
09/07/2006
Last updated
10/20/2010
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