Provider Demographics
NPI:1053544809
Name:INVISION EYECARE, LLC.
Entity type:Organization
Organization Name:INVISION EYECARE, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-402-4775
Mailing Address - Street 1:2924 S 31ST ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-1861
Mailing Address - Country:US
Mailing Address - Phone:254-771-3937
Mailing Address - Fax:254-449-7716
Practice Address - Street 1:620 S FORT HOOD ST STE B
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-6808
Practice Address - Country:US
Practice Address - Phone:254-634-8338
Practice Address - Fax:254-628-9120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
26OtherITPE
42OtherAREA AGENCY ON AGING
579276OtherBCBS
TX185117100OtherFIRST CARE
BOA12VC34OtherALWAYS VISION
1871640219OtherCHIPS
26OtherITPE