Jon Bantugan, OD

Optometrist · Vicksburg, MS

Individual Active NPI

NPI number 1346169299

Practice location

2011 Highway 61 N
Vicksburg, MS 39183-8227
Phone
(601) 630-9199
Fax
(601) 630-0426

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NPI record

NPI
1346169299
Entity type
Individual (Type 1)
Enumeration date
July 14, 2026
Last updated
July 14, 2026
Certified
July 14, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 1129 MS

About Dr. Bantugan

Jon Bantugan, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 2011 Highway 61 N, Vicksburg, MS 39183-8227. The NPI number 1346169299 was assigned on July 14, 2026 and the record was last updated on July 14, 2026.

Dr. Bantugan lists a license in the registry: #1129 (MS) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Bantugan, OD?

The NPI number is 1346169299.

What is the phone number of Dr. Bantugan?

The phone number listed for the practice location is (601) 630-9199.

Where is Dr. Bantugan located?

2011 Highway 61 N, Vicksburg, MS 39183-8227.

What is the taxonomy code for Dr. Bantugan?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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