Provider Demographics
NPI:1972633931
Name:INVISION EYE CARE INC
Entity Type:Organization
Organization Name:INVISION EYE CARE INC
Other - Org Name:INVISION EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:T
Authorized Official - Last Name:DUVENDACK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:419-425-9273
Mailing Address - Street 1:1800 TIFFIN AVE
Mailing Address - Street 2:SUITE D4A
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6789
Mailing Address - Country:US
Mailing Address - Phone:419-425-9273
Mailing Address - Fax:419-423-7124
Practice Address - Street 1:1800 TIFFIN AVE
Practice Address - Street 2:SUITE D4A
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6789
Practice Address - Country:US
Practice Address - Phone:419-425-9273
Practice Address - Fax:419-423-7124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH5026152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHIN9354731Medicare PIN