Organization
EYECARE PROFESSIONALS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK R. JEFFREYS III M.D. (PRESIDENT)
(601) 366-1085
Entity
Organization
Contact information
Practice address
1501 LAKELAND DRIVE, SUITE 100, JACKSON, MS 39216-4848
(601) 366-1085
(601) 366-5186
Mailing address
1501 LAKELAND DRIVE, SUITE 100, JACKSON, MS 39216-4848
(601) 366-1085
(601) 366-5186
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14957
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016216
—
MS
Enumeration date
03/20/2007
Last updated
11/27/2012
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