Medical Mall Vision Clinic - Optometrist in Jackson, MS

Medical Mall Vision Clinic is a Optometrist based in Jackson, Mississippi. Medical Mall Vision Clinic is licensed to practice in Mississippi (license number ) and their current practice location is 350 West Woodrow Wilson Ave, Suite 3110, Jackson, Mississippi. It can be reached at their office (for appointments etc.) via phone at (601) 366-9020.

NPI number for Medical Mall Vision Clinic is 1093899023 and their current mailing address is 350 W Woodrow Wilson Ave, Suite 3110, Jackson, Mississippi. Medical Mall Vision Clinic does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1093899023.

Contact Information

Medical Mall Vision Clinic
350 West Woodrow Wilson Ave, Suite 3110,
Jackson, MS 39213-7681
(601) 366-9020
(601) 321-3979



Healthcare Provider's Profile

Full NameMedical Mall Vision Clinic
TypeFacility
SpecialityOptometrist
Location350 West Woodrow Wilson Ave, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093899023
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 08/22/2020

Medical Identifiers

Medical identifiers for Medical Mall Vision Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093899023NPI-NPPES
04028327MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Medical Mall Vision Clinic is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Medical Mall Vision Clinic
350 W Woodrow Wilson Ave, Suite 3110,
Jackson, MS 39213-7681

Ph: (601) 366-9020
Medical Mall Vision Clinic
350 West Woodrow Wilson Ave, Suite 3110,
Jackson, MS 39213-7681

Ph: (601) 366-9020

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Optometrist in Jackson, MS

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