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ACADEMY OF VISION DEVELOPMENT PLLC NPI 1548628415


NPI Information

NPI: 1548628415
Provider Name: ACADEMY OF VISION DEVELOPMENT, PLLC

Doing Business As: AVD

Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
6617 CROSSINGS DR SE
SUITE 102
GRAND RAPIDS, MI
ZIP 49508
Phone: (616) 541-7080
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ACADEMY OF VISION DEVELOPMENT, PLLC is a vision therapy optometrist in Grand Rapids, MI. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. ACADEMY OF VISION DEVELOPMENT, PLLC NPI is 1548628415. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avd.

The provider's business location address is:

6617 CROSSINGS DR SE
SUITE 102
GRAND RAPIDS, MI
ZIP 49508-378
Phone: (616) 541-7080
Fax: (616) 541-7088

The provider's authorized official is Angela L Sanders .
The authorized official title is Sole Owner/member and has the following contact phone number (616) 485-9804.

The enumeration date for this NPI number is 2/5/2016 and was last updated on 2/5/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WV0400XOptometristVision Therapy4901004369MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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