MEDICAL MALL VISION CLINIC
NPI 1093899023
Optometrist in Jackson, MS

Q: What is Medical Mall Vision Clinic's NPI number?

The NPI number for Medical Mall Vision Clinic is 1093899023. It was assigned to this organization in the NPPES registry on October 25, 2006.

Q: What is Medical Mall Vision Clinic's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since October 25, 2006

350 WEST WOODROW WILSON AVE, SUITE 3110, JACKSON, MS 39213(601) 366-9020(601) 321-3979 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Medical Mall Vision Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL MALL VISION CLINIC (NPI 1093899023) is a healthcare organization registered as an optometrist in Jackson, Mississippi and active in the NPI registry since October 2006. The organization lists W Boyce Craig, Owner, as its authorized official.

NPPES Registry Identity

NPI1093899023

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMEDICAL MALL VISION CLINIC

Location Address350 WEST WOODROW WILSON AVE, SUITE 3110Jackson, MS 39213-7681

Mailing Address350 W Woodrow Wilson Ave, Suite 3110Jackson, MS 39213-7681 · (601) 366-9020

Phone(601) 366-9020

Fax(601) 321-3979

Organization SubpartNo

Authorized OfficialW Boyce CraigOwner · (601) 957-5252

Enumeration DateOctober 25, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1093899023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

350 WEST WOODROW WILSON AVE, Jackson, MS 39213

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Other Identifiers 1

Medicaid04028327MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Mall Vision Clinic's NPI number?

The NPI number for Medical Mall Vision Clinic is 1093899023. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Medical Mall Vision Clinic located?

Medical Mall Vision Clinic is located at 350 West Woodrow Wilson Ave Suite 3110, Jackson, MS 39213. The listed phone number is (601) 366-9020.

What is Medical Mall Vision Clinic's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Medical Mall Vision Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.