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
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
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
Frequently asked questions
- What is Medical Mall Vision Clinic's NPI number?
- Medical Mall Vision Clinic's National Provider Identifier (NPI) is 1093899023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Mall Vision Clinic?
- Medical Mall Vision Clinic is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Medical Mall Vision Clinic located?
- Medical Mall Vision Clinic's practice location on file with NPPES is 350 West Woodrow Wilson Ave, Jackson, MS 39213-7681.
- What is Medical Mall Vision Clinic's phone number?
- The practice phone number listed in the NPPES registry for Medical Mall Vision Clinic is (601) 366-9020.
- Who is the authorized official for Medical Mall Vision Clinic?
- The authorized official listed on Medical Mall Vision Clinic's NPPES record is W Craig, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Mall Vision Clinic's NPI active?
- Yes — Medical Mall Vision Clinic's NPI (1093899023) is active in the NPPES registry as of the last update on 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.