Organization
ENVISION EYE CARE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYATTA HAIRSTON O.D. (OWNER)
(601) 987-3937
Entity
Organization
Contact information
Practice address
200 MARKET PL, RICHLAND, MS 39218-4429
(601) 936-5929
Mailing address
3139 N STATE ST, JACKSON, MS 39216-4004
(601) 987-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
658
MS
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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