IndividualActive
Jacob Ivey, OD
NPI 1508885369 · Optometrist · Louisville, MS
Provider details
- NPI number
- 1508885369
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- PENDING (MS)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
14994 W Main St
Louisville, MS 39339-2616
Phone: (662) 773-3494
Fax: (662) 773-7883
Approximate (ZIP-level) locationGet directions
Mailing address
14994 W Main St
Louisville, MS 39339-2616
Additional practice locations (4)
- 3027 Jefferson StMacon, MS 39341-2275Phone: (662) 726-6111Fax: (662) 726-6110
- 5002 Highway 39 N Bldg BMeridian, MS 39301-1078Phone: (601) 683-7331Fax: (601) 683-3721
- 107 Decatur StNewton, MS 39345-2309Phone: (601) 683-3241Fax: (601) 683-3233
- 1054 Airpark RdPhiladelphia, MS 39350-3368Phone: (601) 656-3296Fax: (601) 656-8164
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.