1326714197 NPI number — INVISION OPTOMETRY VENTURES, INC

Table of content: (NPI 1326714197)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326714197 NPI number — INVISION OPTOMETRY VENTURES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INVISION OPTOMETRY VENTURES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326714197
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/20/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12954 FRANCINE TER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POWAY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92064-4114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-801-6700
Provider Business Mailing Address Fax Number:
619-295-4930

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3830 VALLEY CENTRE DR STE 703
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92130-3307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-350-4980
Provider Business Practice Location Address Fax Number:
858-350-4985
Provider Enumeration Date:
08/20/2021

Additional Information

Authorized Official

Authorized Official Last Name:
LANCASTER
Authorized Official First Name:
FRAN
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING SPECIALIST
Authorized Official Telephone Number:
760-801-6700

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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