DELAWARE VISION ACADEMY LLC NPI 1518092659

NPI Information

NPI: 1518092659
Provider Name: DELAWARE VISION ACADEMY LLC
Classification: Optometrist - 152WV0400X
Specialization: Vision Therapy
Entity Type: Organization
CLIA Number: 08D2145137
Address: 3105 LIMESTONE RD
SUITE 102
WILMINGTON, DE
ZIP 19808
Phone: (302) 998-1395

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NPI Details

DELAWARE VISION ACADEMY LLC is a vision therapy optometrist in Wilmington, DE. 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. DELAWARE VISION ACADEMY LLC NPI is 1518092659. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3105 LIMESTONE RD
SUITE 102
WILMINGTON, DE
ZIP 19808-147
Phone: (302) 998-1395
Fax: (302) 998-6784

The provider's authorized official is Don David Blackburn .
The authorized official title is President and has the following contact phone number (302) 998-1395.

The CLIA number assigned to this NPI record is 08D2145137 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 2/27/2009.

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
1	152W00000X	Optometrist		I3-0001218	DELAWARE	No
2	152WP0200X	Optometrist	Pediatrics	I3-0001218	DELAWARE	No
3	152WS0006X	Optometrist	Sports Vision	I3-0001218	DELAWARE	No
4	156FX1800X	Technician/Technologist	Optician	I3-0001218	DELAWARE	No
5	152WV0400X	Optometrist	Vision Therapy	I3-0001218	DELAWARE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	DELAWARE	BCBS
2	258125	OTHER	DELAWARE	COVENTRY
3	U65945	MEDICARE UPIN	DELAWARE
4	G01597	MEDICARE PIN	DELAWARE

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: 11/21/2025

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