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

State of Mississippi - University of Mississippi Medical Center

Organization Eyewear Supplier · NPI 1568254100

State of Mississippi - University of Mississippi Medical Center is an Eyewear Supplier in Jackson, Mississippi. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

764 Lakeland Dr
Jackson, MS 39216-4651
Phone: (601) 984-5020
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 number1568254100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Grimsley — Associate Cfo - Clinical Operations · (601) 815-6270
Other names Ummc Optical Suite
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing addressPo Box 11407, Birmingham, AL 35246-2130

Other providers in Jackson