Provider Demographics
NPI:1720486467
Name:INVISION EYECARE, PLLC
Entity type:Organization
Organization Name:INVISION EYECARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MASON
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:434-238-3658
Mailing Address - Street 1:9056 POPLAR POPLAR PIKE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-8226
Mailing Address - Country:US
Mailing Address - Phone:901-310-4044
Mailing Address - Fax:901-310-4209
Practice Address - Street 1:9056 POPLAR POPLAR PIKE
Practice Address - Street 2:SUITE 104
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-8226
Practice Address - Country:US
Practice Address - Phone:901-310-4044
Practice Address - Fax:901-310-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000003155152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty