Provider Demographics
NPI:1598949711
Name:INVISION, INC.
Entity Type:Organization
Organization Name:INVISION, INC.
Other - Org Name:INVISION OPTICAL - BRICK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:HEDAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-905-5600
Mailing Address - Street 1:1 ROUTE 70
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5895
Mailing Address - Country:US
Mailing Address - Phone:732-905-5600
Mailing Address - Fax:
Practice Address - Street 1:220 JACK MARTIN BLVD
Practice Address - Street 2:SUITE E2
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-7772
Practice Address - Country:US
Practice Address - Phone:732-905-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INVISION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-24
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ270A00376000152W00000X
NJ31TD00330000156FX1800X
NJ31TD00227500156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1346459161OtherNPI
NJ1598949711OtherNPI