OrganizationActive
Medical Mall Vision Clinic
NPI 1093899023 · Optometrist · Jackson, MS
Medical Mall Vision Clinic is a Optometrist organization in Jackson, MS (NPI 1093899023).
Provider details
- NPI number
- 1093899023
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- W Craig, Owner(601) 957-5252
Practice location
350 West Woodrow Wilson Ave
Suite 3110
Jackson, MS 39213-7681
Phone: (601) 366-9020
Fax: (601) 321-3979
Street-level locationGet directions
Mailing address
350 W Woodrow Wilson Ave
Jackson, MS 39213-7681
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.