Healthcare Provider Details

I. General information

NPI: 1720884885
Provider Name (Legal Business Name): INVISION MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 FIRST STREET
CHARLEROI PA
15022-1427
US

IV. Provider business mailing address

303 FIRST STREET
CHARLEROI PA
15022-1427
US

V. Phone/Fax

Practice location:
  • Phone: 724-483-3675
  • Fax: 724-483-0404
Mailing address:
  • Phone: 724-483-3675
  • Fax: 724-483-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN ROBERT MARTINELLI
Title or Position: OWNER
Credential: OD
Phone: 724-483-3675