Tonyatta T Hairston, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

658 Issued in MS

Practice address

3136 North State Street
Jackson, MS 39202

Phone

(601) 987-3937

Fax

(601) 987-3922

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Envision Eye Care, Inc

  • Optometrist
  • Jackson, MS
  • NPI 1083734867
  Medicare reassignment NPD Authorized official
• Envision Eye Care, Inc

  • Optometrist
  • Magee, MS
  • NPI 1326254301
  NPD (past) Authorized official
• Envision Eye Care, Inc

  • Health Service Clinic/Center
  • Jackson, MS
  • NPI 1710260310
  NPD (past) Authorized official
• Envision Eye Care, Incorporated

  • Optometrist
  • Richland, MS
  • NPI 1447466511
  NPD (past) Authorized official
• First Sight LLC

  • Optometrist
  • Jackson, MS
  • NPI 1831430925
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1295847432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 NORTH STATE STREET",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "601-987-3937",
            "fax_number": "601-987-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 NORTH STATE STREET",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "601-987-3937",
            "fax_number": "601-987-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "TONYATTA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04771528",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Lamare Haines, PHARMD
• Leslie Ann Haines, FNP
• Stuart Tilman Haines, PHARM.D.
• Hair & Scalp Restoration Center
• Dora Hair
• Omeed Haji-Amiri, MD
• Dana Lynn Hale, ATC
• Nancy M Hale, M.A., CCC-SLP
• Flora Denise Gray Haley, FNP
• Price W Halford, M.D.

• Optometrist in Jackson, MS
• Providers in Jackson, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.