SENSORY SOURCE LLC NPI 1326268186

NPI Information

  • NPI: 1326268186
  • Provider Name: SENSORY SOURCE, LLC
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Organization
  • Doing Business As: SENSORY LEARNING CENTER OF WEST MICHIGAN
  • Address: 11301 COMMERCE DR
    SUITE A
    ALLENDALE, MI
    ZIP 49401
  • Phone: (616) 895-9550

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NPI Details

SENSORY SOURCE, LLC is a vision therapy optometrist in Allendale, 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. SENSORY SOURCE, LLC NPI is 1326268186. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sensory Learning Center Of West Michigan.

The provider's business location address is:

11301 COMMERCE DR
SUITE A
ALLENDALE, MI
ZIP 49401-200
Phone: (616) 895-9550
Fax: (616) 892-5166

The provider's authorized official is Patricia Marie Roslund .
The authorized official title is Optometrist, Llc Manager and has the following contact phone number (616) 895-9550.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WV0400XOptometristVision Therapy4901003210MICHIGANYes

What is NPI?

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This page was last updated on: 11/21/2025

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