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NPI Code Detail

MEDICARE: INVISION EYE CENTER

MEDICARE: INVISION EYE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1437754496
Entity Type Code : Organization
Provider Name (Legal Business Name) : INVISION EYE CENTER
Provider Business Mailing Address
First Line : PO BOX 1048
Second Line :
City : CALIENTE
State : NV
Zip : 89008-1048
Country : US
Telephone Number : 775-726-3911
Fax Number : 775-726-3922
Provider Business Practice Location Address
First Line : 6707 W CHARLESTON BLVD STE 1B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-9200
Country : US
Telephone Number : 702-878-8007
Fax Number : 702-878-4103
Authorized Official
Title or Position : OWNER
Name : JOSHUA JAMES TERRY
Credential : OD
Telephone Number : 775-726-3911
Provider Enumeration Date : 11/30/2020
Last Update Date : 11/30/2020

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Directions to “INVISION EYE CENTER ” Practice Location

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