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Organization

ENVISION EYE CARE, INC

Active
Find providers by NPI
Organization

ENVISION EYE CARE, INC

Active
Parent organization
ENVISION EYE CARE, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ENVISION EYE CARE, INC
Authorized official
DR. TONYATTA T HAIRSTON O.D. (OWNER/OPTOMETRIST)
(601) 987-3937
Entity
Organization

Contact information

Practice address
1100 JR LYNCH ST, SUITE 5, JACKSON, MS 39203-3311
(601) 487-6812
(601) 487-6818
Mailing address
1100 JR LYNCH ST, SUITE 5, JACKSON, MS 39203-3311
(601) 487-6812
(601) 487-6818

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
658
MS
261QH0100X
Health Service Clinic/Center
825
MS
261QH0100X
Health Service Clinic/Center
844
MS

Other

Enumeration date
09/21/2011
Last updated
09/21/2011
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