Envision Eye Care, Inc

NPI 1083734867 - Optometrist - 152W00000X

NPI Details
NPI 1083734867
Enumeration Date 03/29/2007
Last Updated 07/08/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TONYATTA T. TONYATTA
Position OWNER
Phone (601) 987-3937
Fax (601) 987-3922
Practice Location
1316 NORTH STATE STREET
JACKSON MS, 39202, US
Phone (601) 987-3937
Fax (601) 987-3922
Business Location
1316 NORTH STATE STREET
JACKSON MS, 39202, US
Phone (601) 987-3937
Fax (601) 987-3922
Toxanomy
Taxonomy Code 152W00000X
License State Mississippi
License Number 658
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According to our database, Envision Eye Care, Inc NPI is 1083734867, taxonomy code is 152W00000X and license number is 658, license state is located at Mississippi. Envision Eye Care, Inc physically located at 1316 North State Street, Jackson MS, 39202. NPI Number 1033115704 has the healthcare provider type.

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1083734867 NPI number is provided on an as is basis without warranty of any kind. 1083734867 is maintained by the National Plan & Provider Enumeration System. The contents of Envision Eye Care, Inc are for informational purposes only.