Organization · Type 2 NPI
Envision Eye Care, Inc
Health Service Clinic/Center · Jackson, MS
NPI number
1710260310
Active
Practice location
1100 Jr Lynch St, Suite 5
Jackson, MS 39203-3311
Fax (601) 487-6818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 825 (MS) |
| Health Service Clinic/Center Primary | 261QH0100X | 658 (MS) |
| Health Service Clinic/Center | 261QH0100X | 844 (MS) |
Health Service Clinic/Center: Definition to come...
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About NPI 1710260310
Envision Eye Care, Inc's National Provider Identifier is 1710260310, issued on Sep 21, 2011. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Jackson, MS. The record was last updated on Sep 21, 2011.