ENVISION EYE CARE, INC (NPI# 1710260310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710260310 |
| Entity Type | Organization |
| Organization Name | ENVISION EYE CARE, INC |
| Practice Address |
1100 Jr Lynch St Suite 5 Jackson MS 39203-3311 |
| Practice Telephone | 6014876812 |
| Practice Fax Number | 6014876818 |
| Mailing Telephone | 6014876812 |
| Mailing Fax Number | 6014876818 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |
| Authorized Official Name | DR. TONYATTA T HAIRSTON (OWNER/OPTOMETRIST) |
| Authorized Official Telephone | 6019873937 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | ENVISION EYE CARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
825 | MS | Ambulatory Health Care Facilities |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
844 | MS | Ambulatory Health Care Facilities |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
658 | MS | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326254301 | Envision Eye Care, Inc | Optometrist | 1625 Simpson Hwy 49, Magee, MS 39111 | 2007-05-15 |
| 1083734867 | Envision Eye Care, Inc | Optometrist | 1316 North State Street, Jackson, MS 39202 | 2007-03-29 |
| Street Address |
1100 JR LYNCH ST SUITE 5 |
| City | JACKSON |
| State | MS |
| Zip Code | 39203-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
| 1083027544 | Debra Williams | Counselor | 514 West Fortification Ave, Jackson, MS 39203 | 2014-06-03 |
| 1336224179 | Mississippi State Hospital At Whitfield | Community Based Residential Treatment Facility, Mental Illness | 350 Capers Avenue, Jackson, MS 39203 | 2006-10-26 |
| 1568628980 | Mall Services, LLC | Clinic/Center | 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030 | 2008-08-05 |
| 1710022959 | Jackson Public Schools Dba Galloway Clinic | Registered Nurse | 186 Idlewild St, Jackson, MS 39203-1219 | 2007-02-21 |
| 1457522260 | Jimmie C Robinson | Durable Medical Equipment & Medical Supplies | 605 W Fortification St, Jackson, MS 39203-1706 | 2008-03-19 |
| 1093277428 | Connections Counseling & Consulting LLC | Social Worker | 338 Oak St, Jackson, MS 39203-1810 | 2019-04-04 |
| 1033504816 | Niesha Lasha Gilmore | Occupational Therapist | 519 Scott St, Jackson, MS 39203-1825 | 2015-03-30 |
| 1255952453 | Innovative Hands of Therapy Services LLC | Occupational Therapist | 519 Scott St, Jackson, MS 39203-1825 | 2020-04-29 |
| 1588812341 | Deepti Amol Janorkar | Dentist | 275 Roseneath Ave, Jackson, MS 39203-2052 | 2008-09-05 |
| Find all providers in zip 39203 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114471570 | Telemedicine Services of Mississippi | Clinic/Center | 2355b River Oaks Blvd, Jackson, MS 39211-3015 | 2016-08-15 |
| 1851706188 | Mediscan, LLC | Clinic/Center | 111 N Missouri St, Jackson, MO 63755-1831 | 2014-06-25 |
| 1245643204 | Meredith Figueroa | Clinic/Center | 20 Copper Ridge Cv, Jackson, TN 38305-5725 | 2014-06-07 |
| 1962638791 | Choices for Children and Family - Forest Hill | Clinic/Center | 2607 Raymond Rd, Jackson, MS 39212-2252 | 2009-06-08 |
| 1083778617 | Choices for Children LLC | Clinic/Center | 2941 Terry Rd Ste 22, Jackson, MS 39212-3072 | 2006-12-20 |
| 1255719068 | Medical Care Alliance LLC | Clinic/Center | 5903 Ridgewood Rd, Suite 310, Jackson, MS 39211-3700 | 2015-05-13 |
| 1528470630 | Rebecca A. Griggs | Clinic/Center | 21 Security Dr, Jackson, TN 38305-3626 | 2014-05-22 |
| 1679843452 | Medical Mall Services of Mississippi, LLC | Clinic/Center | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2012-01-10 |
| 1548539117 | Mall Services, LLC | Clinic/Center | 1860 Chadwick Dr, Suite 305, Jackson, MS 39204-3463 | 2011-12-27 |
| 1588964811 | Good Samaritan Family Walk-in Clinic, LLC | Clinic/Center | 1869 Highway 45 Byp, Suite 4, Jackson, TN 38305-2464 | 2010-11-03 |
| 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.