Provider Demographics
NPI:1841398948
Name:IN-VISION OPTICS INC.
Entity Type:Organization
Organization Name:IN-VISION OPTICS INC.
Other - Org Name:EYEWEAROUTLET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:U'GLAY
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:609-267-2728
Mailing Address - Street 1:1636 ROUTE 38
Mailing Address - Street 2:SUITE 45
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-2900
Mailing Address - Country:US
Mailing Address - Phone:609-267-2728
Mailing Address - Fax:609-267-0475
Practice Address - Street 1:1636 ROUTE 38
Practice Address - Street 2:SUITE 45
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-2900
Practice Address - Country:US
Practice Address - Phone:609-267-2728
Practice Address - Fax:609-267-0475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31TD00085800332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier