STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1568254100
Eyewear Supplier in Jackson, MS

Active since May 20, 2025
764 LAKELAND DR, JACKSON, MS 39216(601) 984-5020 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About State Of Mississippi - University Of Mississippi Medical Center NPPES

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

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI 1568254100) is a healthcare organization registered as an eyewear supplier in Jackson, Mississippi and active in the NPI registry since May 2025. The organization lists Jeffrey Grimsley, Associate Cfo - Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1568254100
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Location Address764 LAKELAND DRJackson, MS 39216-4651
Mailing AddressPo Box 11407Birmingham, AL 35246-2130 · (601) 984-1000
Organization SubpartNo
Authorized OfficialJeffrey GrimsleyAssociate Cfo - Clinical Operations · (601) 815-6270
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
NPI 1568254100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

764 LAKELAND DR, Jackson, MS 39216

Other Names 1

Other NameUmmc Optical Suite

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
764 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
764 LAKELAND DR
JACKSON, MS 39216
Family Medicine
764 LAKELAND DR, 2ND FLOOR
JACKSON, MS 39216
Student in an Organized Health Care Education/Training Program
764 LAKELAND DR
JACKSON, MS 39216
Ophthalmology
764 LAKELAND DR
JACKSON, MS 39216
Family Medicine
764 LAKELAND DR
JACKSON, MS 39216
Student in an Organized Health Care Education/Training Program
764 LAKELAND DR
JACKSON, MS 39216
Otolaryngology
764 LAKELAND DR
JACKSON, MS 39216

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 State Of Mississippi - University Of Mississippi Medical Center's NPI number?

The NPI number for State Of Mississippi - University Of Mississippi Medical Center is 1568254100. It was assigned to this organization in the NPPES registry on May 20, 2025. The provider is also known as UMMC Optical Suite.

Where is State Of Mississippi - University Of Mississippi Medical Center located?

State Of Mississippi - University Of Mississippi Medical Center is located at 764 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 984-5020.

What is State Of Mississippi - University Of Mississippi Medical Center's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for State Of Mississippi - University Of Mississippi Medical Center was last updated on May 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.