Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLES EDWARD ANDERSON III

Active Sole Proprietor

Ocularist · JACKSON, MS

Registration Details

NPI Number: 1316004039
Provider Type: Individual
Gender: Male
NPI Issued: Jan 2, 2007 (19.302695225589 yrs)
Last Updated: Mar 1, 2026
License: UNLICENSED STATE (MS)
Sole Proprietor: Yes

Practice Information

Address: 4800 I-55 NORTH

JACKSON, MS, 392115555
Browse MS providers · Browse ZIP 39211
Phone: 6019480582
Fax: 6013621392
Primary Specialty: Ocularist
156FX1700X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.