Healthcare Provider Details
I. General information
NPI: 1841128659
Provider Name (Legal Business Name): INVISIONARY EYE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3810 BLOOMINGTON ST
COLORADO SPRINGS CO
80922-3203
US
IV. Provider business mailing address
3773 VINEYARD CIR
COLORADO SPRINGS CO
80922-6124
US
V. Phone/Fax
- Phone: 719-622-1529
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANTHONY
KOHLER
Title or Position: OWNER, OPTOMETRIST
Credential: OD
Phone: 719-301-9218