Provider Demographics
NPI:1942322722
Name:INVISION, INC
Entity Type:Organization
Organization Name:INVISION, INC
Other - Org Name:INVISION EYECARE
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 HIGHWAY 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:732-905-8604
Practice Address - Street 1:1 HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5895
Practice Address - Country:US
Practice Address - Phone:732-905-5600
Practice Address - Fax:732-905-8604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00376000152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG60510Medicare UPIN
NJA64763Medicare UPIN
NJT92049Medicare UPIN