Healthcare Provider Details

I. General information

NPI: 1003006123
Provider Name (Legal Business Name): INVISION EYECARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 03/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2161 MAIN ST
DUNEDIN FL
34698-5606
US

IV. Provider business mailing address

2161 MAIN ST
DUNEDIN FL
34698-5606
US

V. Phone/Fax

Practice location:
  • Phone: 727-734-8843
  • Fax: 727-733-4313
Mailing address:
  • Phone: 727-734-8843
  • Fax: 727-733-4313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC2720
License Number StateFL

VIII. Authorized Official

Name: DR. DOUGLAS RONALD TUPPS
Title or Position: PRESIDENT
Credential: O.D.
Phone: 727-734-8843