Jea Optical LLC
NPI #1023572823 in Clinton, Mississippi
Provider Information
- NPI Number
- 1023572823
- Entity Type
- Organization
- Organization Name
- Jea Optical LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 25, 2019
- Last Updated
- Jan 25, 2019
Practice Location
- Address
- 102 CLINTON PKWY
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-4730
- Phone
- (601) 924-9750
Authorized Official
- Name
- ROBERT AMORY MALLETTE, MD
- Title
- MANAGING PARTNER
- Phone
- (601) 353-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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