ENVISION EYE CARE, INC (NPI# 1083734867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083734867 |
| Entity Type | Organization |
| Organization Name | ENVISION EYE CARE, INC |
| Practice Address |
1316 North State Street Jackson MS 39202 |
| Practice Telephone | 6019873937 |
| Practice Fax Number | 6019873922 |
| Mailing Telephone | 6019873937 |
| Mailing Fax Number | 6019873922 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-07-08 |
| Authorized Official Name | MRS. TONYATTA T. HAIRSTON (OWNER) |
| Authorized Official Telephone | 6019873937 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 658 | MS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05254312 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710260310 | Envision Eye Care, Inc | Clinic/Center | 1100 Jr Lynch St, Suite 5, Jackson, MS 39203-3311 | 2011-09-21 |
| 1326254301 | Envision Eye Care, Inc | Optometrist | 1625 Simpson Hwy 49, Magee, MS 39111 | 2007-05-15 |
| Street Address |
1316 NORTH STATE STREET |
| City | JACKSON |
| State | MS |
| Zip Code | 39202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326320896 | Trakena Cole Jones | Optometrist | 1316 North State Street, Jackson, MS 39202 | 2011-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548884307 | Bricker B Buseth | Optometrist | 2500 Reynolds Rd, Jackson, MI 49201-9376 | 2020-06-07 |
| 1922667682 | Brittany Renee Bryant | Optometrist | 119 Stonebrook Pl Ste A, Jackson, TN 38305-3636 | 2019-06-06 |
| 1023504818 | Trent Wayne Martin | Optometrist | 1000 Vann Dr Ste A, Jackson, TN 38305-6062 | 2018-07-05 |
| 1417478835 | Mason Ross Womack | Optometrist | 810 Court St # 10, Jackson, CA 95642-2132 | 2017-07-06 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1174923189 | Lindsay Katharine Klumpp | Optometrist | 850 W North St, Ste. 100, Jackson, MI 49202-3196 | 2014-08-27 |
| 1700200227 | Mobile Vision LLC | Optometrist | 1737 Spring Arbor Rd # 164, Jackson, MI 49203-2701 | 2014-02-05 |
| 1831430925 | First Sight LLC | Optometrist | 1316 N State St, Jackson, MS 39202-2003 | 2013-03-14 |
| 1447506381 | Morgan Allyce Strand | Optometrist | 2954 E. Jackson Blvd, Jackson, MO 63755 | 2012-07-30 |
| 1083847776 | The Center for Sight P.C. | Optometrist | 3595 Ann Arbor Rd, Jackson, MI 49202-2703 | 2009-08-27 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.