NPIMap

Organization Active NPI

Invision Eyecare Specialists

  • Ophthalmology Physician
  • Lakewood, NJ
National Provider Identifier
1578030011
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
INVISION EYECARE SPECIALISTS
Practice address
1 State Route 70
Lakewood, NJ 08701-5895
Phone
(732) 210-0140
NPI assigned
Nov 1, 2018
Last updated
May 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barry Edison, DONPI 1447283510
Title
Managing Member
Phone
(732) 210-0140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1 State Route 70
Lakewood, NJ 08701-5895

Mailing address

1 State Route 70
Lakewood, NJ 08701-5895
Phone (732) 210-0140

Other identifiers 1

IdentifierTypeStateIssuer
25MB07214600OtherNJNEW JERSEY MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190408000245 NJ Part B Supplier - Clinic/Group Practice 1759622475 Receives reassigned benefits from 13 practitioners
Practice locations: Lakewood, NJ
O20190725002888 NJ DME Supplier - Physician - Optometrist 1759622475 Practice locations: Lakewood, NJ

National Provider Directory

National Provider Directory

Locations

1 State Route 70
Lakewood, NJ 08701
Phone (732) 905-5600

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1578030011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STATE ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015895",
            "telephone_number": "732-210-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STATE ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015895",
            "telephone_number": "732-210-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVISION EYECARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "EDISON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-210-0140",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY MEDICAL LICENSE",
            "identifier": "25MB07214600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.