Bantugan, Jon
Bantugan, Jon is an individual health care provider with primary practice located at 2011 Highway 61 N , Vicksburg MS 39183-8227. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bantugan, Jon can be contacted via phone (601) 630-9199.Contact Information
Primary practice address
2011 Highway 61 N
Vicksburg MS 39183-8227
Phone: (601) 630-9199
Fax: (601) 630-0426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1129 | Mississippi |
Profile Details
| NPI number | 1346169299 |
|---|---|
| LBN Legal business name | Bantugan, Jon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2026 |
| Last updated | Jul 14th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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