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THE CENTER FOR VISION DEVELOPMENT LLC NPI 1629201991


NPI Information

NPI: 1629201991
Provider Name: THE CENTER FOR VISION DEVELOPMENT, LLC
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

CLIA Number: 21D2202094

Address:
509 S CHERRY GROVE AVE STE C
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 268-4393
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THE CENTER FOR VISION DEVELOPMENT, LLC is a vision therapy optometrist in Annapolis, MD. 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. THE CENTER FOR VISION DEVELOPMENT, LLC NPI is 1629201991. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

509 S CHERRY GROVE AVE STE C
ANNAPOLIS, MD
ZIP 21401-235
Phone: (410) 268-4393
Fax: (410) 268-5200

The provider's authorized official is Jennifer J Kungle .
The authorized official title is President and has the following contact phone number (301) 437-1266.

The CLIA number assigned to this NPI record is 21D2202094 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2009 and was last updated on 3/3/2010.


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 TherapyTA1673MARYLANDYes

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
1U95698MEDICARE UPINMARYLAND
2617M102FMEDICARE PINMARYLAND

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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