Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Optical of Fondren LLC

Organization Eyewear Supplier · NPI 1467622605

Custom Optical of Fondren LLC is an Eyewear Supplier in Jackson, Mississippi. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

661 Duling Ave
Jackson, MS 39216-4008
Phone: (601) 362-6675
Fax: (601) 362-5767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1467622605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Hammons — Owner/Optician · (601) 362-6675
Other names Custom Optical Of Fondren Llc; Custom Optical Of Fondren Llc; Custom Optical Of Fondren Llc
NPI enumeratedMarch 4, 2008
Last updated in NPPESApril 29, 2022
Certification dateApril 27, 2022
Mailing address661 Duling Ave, Jackson, MS 39216-4008

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