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WORLD WIDE VISION THERAPY CENTERS L.L.C. NPI 1801275193


NPI Information

NPI: 1801275193
Provider Name: WORLD WIDE VISION THERAPY CENTERS, L.L.C.

Doing Business As: WOW VISION THERAPY

Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
3152 PEREGRINE DR NE
SUITE C205
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 447-1444
Get Directions

WORLD WIDE VISION THERAPY CENTERS, L.L.C. 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. WORLD WIDE VISION THERAPY CENTERS, L.L.C. NPI is 1801275193. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wow Vision Therapy.

The provider's business location address is:

3152 PEREGRINE DR NE
SUITE C205
GRAND RAPIDS, MI
ZIP 49525-723
Phone: (616) 447-1444
Fax: (616) 447-1445

The provider's authorized official is Dan L Fortenbacher .
The authorized official title is Owner and has the following contact phone number (269) 983-3309.

The enumeration date for this NPI number is 5/20/2015 and was last updated on 5/21/2015.


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 Therapy4901004791MICHIGANNo
2152WV0400XOptometristVision Therapy4901004454MICHIGANNo
3152W00000XOptometrist4901002693MICHIGANNo
4152WS0006XOptometristSports Vision4901002693MICHIGANNo
5152WV0400XOptometristVision Therapy4901002693MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10700790001MEDICARE NSCMICHIGAN
2C20444MEDICARE PINMICHIGAN
3T32641MEDICARE UPINMICHIGAN
4900A165280OTHERMICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN
5A17615002MEDICARE PINMICHIGAN

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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