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Custom Optical of Fondren LLC — NPI 1467622605, Jackson, MS | NPI Central

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NPI 1467622605

OrganizationActive

Custom Optical of Fondren LLC

NPI 1467622605 · Eyewear Supplier · Jackson, MS

Provider details

NPI number: 1467622605
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Organization subpart: No
Authorized official: Patricia Hammons, Owner/Optician(601) 362-6675

Specialties & taxonomies

Eyewear SupplierPrimary332H00000X
Suppliers

Practice location

661 Duling Ave

Jackson, MS 39216-4008

Phone: (601) 362-6675

Fax: (601) 362-5767

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

661 Duling Ave

Jackson, MS 39216-4008

Other names (DBA / former)

Other name: Custom Optical of Fondren LLC
Other name: Custom Optical of Fondren LLC
Doing business as: Custom Optical of Fondren LLC

Registry dates

Enumerated: 2008-03-04
Last updated: 2022-04-29
Certified: 2022-04-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.