Provider Demographics
NPI:1457755423
Name:INVISION, LLC
Entity type:Organization
Organization Name:INVISION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:SARA
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:505-341-2020
Mailing Address - Street 1:2703 BROADBENT PKWY NE
Mailing Address - Street 2:STE J
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-1626
Mailing Address - Country:US
Mailing Address - Phone:505-341-2020
Mailing Address - Fax:505-286-6152
Practice Address - Street 1:2703 BROADBENT PKWY NE
Practice Address - Street 2:STE J
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-1626
Practice Address - Country:US
Practice Address - Phone:505-341-2020
Practice Address - Fax:505-286-6152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM901225X00000X
NMNM505152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM29234824Medicaid