STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1568254100
Eyewear Supplier in Jackson, MS

NPI Status: Active since May 20, 2025

Contact Information

764 LAKELAND DR
JACKSON, MS
ZIP 39216
Phone: (601) 984-5020

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  • Organization
  • Eyewear Supplier

About STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for State Of Mississippi - University Of Mississippi Medical Center, a provider established in Jackson, Mississippi operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1568254100 assigned on May 2025. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Jeffrey Grimsley (Associate Cfo - Clinical Operations)

NPI
1568254100
Provider Name
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Entity Type
Organization
Location Address
764 LAKELAND DR JACKSON, MS 39216
Location Phone
(601) 984-5020
Mailing Address
PO BOX 11407 BIRMINGHAM, AL 35246
Mailing Phone
(601) 984-1000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2025
Last Update Date
05-20-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY GRIMSLEY

Authorized Official Title
ASSOCIATE CFO - CLINICAL OPERATIONS
Authorized Official Phone
(601) 815-6270

Reviews for STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568254100
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512845810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 4 + 5 + 8 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1568254100 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003890179DR. FRED BLACKLEDGE M.D.
Individual
Plastic Surgery764 LAKELAND DR
JACKSON, MS 39216
(601) 981-3033
1528256781DR. KEN CHARLES JONES M.D.
Individual
Ophthalmology764 LAKELAND DR SUITE 405
JACKSON, MS 39216
(601) 362-2897
1760921894UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Organization
General Acute Care Hospital764 LAKELAND DR 2ND FLOOR
JACKSON, MS 39216
(601) 984-6800
1205368982 ASHLEY ALPHONSE MD
Individual
Student in an Organized Health Care Education/Training Program764 LAKELAND DR
JACKSON, MS 39216
(601) 984-6800
1124550819 CHINEDU IFEJIAGWA MD
Individual
Student in an Organized Health Care Education/Training Program764 LAKELAND DR
JACKSON, MS 39216
(601) 984-6800
1396185765 JOHN BROWNING M.D.
Individual
Emergency Medicine764 LAKELAND DR
JACKSON, MS 39216
(601) 984-6800
1063840148 SARA BURWELL
Individual
Nurse Practitioner (Family)764 LAKELAND DR
JACKSON, MS 39216
(601) 984-5160
1336677624 WENDY NICOLE MARINO MSN, NP-BC, CORLN
Individual
Otolaryngology764 LAKELAND DR
JACKSON, MS 39216
(601) 984-5516
1669098794 CHIN-QUNE OLIVER YEUNG LAI WAH MD
Individual
Family Medicine764 LAKELAND DR
JACKSON, MS 39216
(601) 984-6800
1386861649A.TERREL WILLIAMS, MD, PLLC
Organization
Specialist764 LAKELAND DR STE 400
JACKSON, MS 39216
(601) 981-1550
1750812194 CLAYTON PATRICK M.D.
Individual
Ophthalmology764 LAKELAND DR UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, OPHTHALMOLOGY
JACKSON, MS 39216
(601) 984-5022
1184374811 ANNA MCCOY MD
Individual
Student in an Organized Health Care Education/Training Program764 LAKELAND DR
JACKSON, MS 39216
(601) 984-6800
1255071288 CARRIE GRACE ALLEN MD
Individual
Student in an Organized Health Care Education/Training Program764 LAKELAND DR
JACKSON, MS 39216
(601) 984-6800
1275283533DR. KIARA S RICHARDSON MD
Individual
Student in an Organized Health Care Education/Training Program764 LAKELAND DR
JACKSON, MS 39216
(601) 984-6800
1316687106DR. MAYUR UDAYAN PATEL MD
Individual
Student in an Organized Health Care Education/Training Program764 LAKELAND DR
JACKSON, MS 39216
(601) 984-6800
1467147850 OLIVER DIAZ GOMEZ MD
Individual
Family Medicine764 LAKELAND DR
JACKSON, MS 39216
(601) 984-6800
1700580487 CHRISTOPHER GUNNAR MOODY DO
Individual
Internal Medicine764 LAKELAND DR
JACKSON, MS 39216
(601) 984-6800
1174147003 STANTON PAUL HEYDINGER MD
Individual
Ophthalmology764 LAKELAND DR
JACKSON, MS 39216
(601) 984-5020
1982454203 KAYLA WATTS FORD
Individual
Family Medicine764 LAKELAND DR
JACKSON, MS 39216
(601) 984-6800
1104241660 ARDARIAN GILLIAM-PIERRE M.D.
Individual
Family Medicine764 LAKELAND DR 2ND FLOOR
JACKSON, MS 39216
(601) 984-6800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568254100, enumerated in the NPI registry as an "organization" on May 20, 2025

The provider is located at 764 Lakeland Dr Jackson, Ms 39216 and the phone number is (601) 984-5020

This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X

This NPI record was last updated on May 20, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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