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INNOVATIVE VISION THERAPY CENTER NPI 1265943450


NPI Information

NPI: 1265943450
Provider Name: INNOVATIVE VISION THERAPY CENTER
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
3215 MARTIN LUTHER KING JR BLVD STE O
ANDERSON, SC
ZIP 29625
Phone: (864) 540-8404
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INNOVATIVE VISION THERAPY CENTER is a vision therapy optometrist in Anderson, SC. 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. INNOVATIVE VISION THERAPY CENTER NPI is 1265943450. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3215 MARTIN LUTHER KING JR BLVD STE O
ANDERSON, SC
ZIP 29625-715
Phone: (864) 540-8404

The provider's authorized official is Tabitha Johnson .
The authorized official title is Owner and has the following contact phone number (864) 540-8404.

The enumeration date for this NPI number is 10/16/2017 and was last updated on 10/16/2017.


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
1152W00000XOptometristNo
2152WV0400XOptometristVision TherapySOUTH CAROLINAYes

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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