Provider Demographics
NPI:1437754496
Name:INVISION EYE CENTER
Entity type:Organization
Organization Name:INVISION EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:775-726-3911
Mailing Address - Street 1:PO BOX 1048
Mailing Address - Street 2:
Mailing Address - City:CALIENTE
Mailing Address - State:NV
Mailing Address - Zip Code:89008-1048
Mailing Address - Country:US
Mailing Address - Phone:775-726-3911
Mailing Address - Fax:775-726-3922
Practice Address - Street 1:6707 W CHARLESTON BLVD STE 1B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-9200
Practice Address - Country:US
Practice Address - Phone:702-878-8007
Practice Address - Fax:702-878-4103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty