NPIMap

Organization Active NPI

Envision Eye Care, Inc

  • Health Service Clinic/Center
  • Jackson, MS
National Provider Identifier
1710260310
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
658 Issued in MS
Legal business name
ENVISION EYE CARE, INC
Practice address
1100 Jr Lynch St
Suite 5
Jackson, MS 39203-3311
Phone
(601) 487-6812
Fax
(601) 487-6818
NPI assigned
Sep 21, 2011
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ENVISION EYE CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Tonyatta T Hairston, O.D.NPI 1295847432
Title
Owner/Optometrist
Phone
(601) 987-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 825 MS
Health Service Clinic/Center 261QH0100X 658 MS Primary
Health Service Clinic/Center 261QH0100X 844 MS

Addresses

Primary practice location

1100 Jr Lynch St
Suite 5
Jackson, MS 39203-3311

Mailing address

1100 Jr Lynch St
Suite 5
Jackson, MS 39203-3311
Phone (601) 487-6812

National Provider Directory

National Provider Directory
Tax ID family
Envision Eye Care Inc4 organizations share this tax ID, including this one
Part of
Envision Eye Care Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1100 Lynch St
Ste 5
Jackson, MS 39203
Phone (601) 487-6812

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1710260310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JR LYNCH ST",
            "address_2": "SUITE 5",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392033311",
            "telephone_number": "601-487-6812",
            "fax_number": "601-487-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JR LYNCH ST",
            "address_2": "SUITE 5",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392033311",
            "telephone_number": "601-487-6812",
            "fax_number": "601-487-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYE CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENVISION EYE CARE, INC",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "TONYATTA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "601-987-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MS",
            "license": "825",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MS",
            "license": "658",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MS",
            "license": "844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.