Provider Demographics
NPI:1356401889
Name:INVISION EYE CARE INC.
Entity type:Organization
Organization Name:INVISION EYE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:G
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-533-1333
Mailing Address - Street 1:57 E MOUNT PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3003
Mailing Address - Country:US
Mailing Address - Phone:973-533-1333
Mailing Address - Fax:973-992-1847
Practice Address - Street 1:57 E MOUNT PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3003
Practice Address - Country:US
Practice Address - Phone:973-533-1333
Practice Address - Fax:973-992-1847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00357200152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0289809Medicaid
141215Medicare PIN
NJU26887Medicare UPIN
NJ0289809Medicaid