| Organization Name: | MISSISSIPPI EYE CARE ASSOCIATES OF JACKSON, PLLC |
| NPI Number: | 1366697799 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER TERRELL BULLIN (OWNER) |
| Mailing Address: | 350 West Woodrow Wilson Drive Suite 3110 Jackson |
| State: | MS US |
| Postal Code: | 392137681 |
| Phone Number: | 6013669020 |
| Fax Number: | 6013213979 |
| NPI Enumeration Date: | 11/26/2008 |
| NPI Last Update Date: | 04/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 783 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |