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

Individual provider Optometrist · NPI 1346169299

Dr. Jon Bantugan, OD is an Optometrist in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2026.

Licensed in
MS
In the registry since
2026
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2011 Highway 61 N
Vicksburg, MS 39183-8227
Phone: (601) 630-9199
Fax: (601) 630-0426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1129 (MS)

Record details

NPI number1346169299
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 14, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address2011 Highway 61 N, Vicksburg, MS 39183-8227

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