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JEA OPTICAL LLC
NPI 1720542855
Durable Medical Equipment & Medical Supplies in Jackson, MS

Active since January 23, 2019
1200 N STATE ST STE 110, JACKSON, MS 39202(601) 352-0025(601) 352-0037 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jea Optical Llc NPPES

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

JEA OPTICAL LLC (NPI 1720542855) is a healthcare organization registered as a durable medical equipment & medical supplies in Jackson, Mississippi and active in the NPI registry since January 2019. The organization maintains 2 additional practice locations and lists Robert Amory Mallette, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1720542855
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameJEA OPTICAL LLC
Location Address1200 N STATE ST STE 110Jackson, MS 39202-2027
Mailing Address1200 N State St Ste 330Jackson, MS 39202-2027 · (601) 353-2020 · Fax (601) 352-5988
Phone(601) 352-0025
Fax(601) 352-0037
Organization SubpartNo
Authorized OfficialRobert Amory MalletteManaging Partner · (601) 353-2020
Enumeration DateJanuary 23, 2019
✔ NPI 1720542855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1200 N STATE ST STE 110, Jackson, MS 39202
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Secondary Practice Locations 2

Location 1102 Clinton PkwyClinton, MS 39056-4730 · Phone (601) 924-9750 · Fax (601) 925-9791
Location 2401 Baptist Dr Ste 201Madison, MS 39110-2009 · Phone (601) 853-2020 · Fax (601) 853-2728

Other Providers at the Same Location NPPES

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

MISSISSIPPI BAPTIST MEDICAL CENTER, INC
Pharmacy (Community/Retail Pharmacy)
1200 N STATE ST STE 110
JACKSON, MS 39202
Hinds County (601) 968-6350

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 Jea Optical LLC's NPI number?

The NPI number for Jea Optical LLC is 1720542855. It was assigned to this organization in the NPPES registry on January 23, 2019.

Where is Jea Optical LLC located?

Jea Optical LLC is located at 1200 N State St Ste 110, Jackson, MS 39202. The listed phone number is (601) 352-0025.

What is Jea Optical LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Jea Optical LLC was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.