Provider Type Icon

CHILDRENS VISION AND LEARNING CENTER PSC NPI 1659594109


NPI Information

NPI: 1659594109
Provider Name: CHILDRENS VISION AND LEARNING CENTER, PSC
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
105 CROSSFIELD DR
VERSAILLES, KY
ZIP 40383
Phone: (859) 879-3665
Get Directions

CHILDRENS VISION AND LEARNING CENTER, PSC is a vision therapy optometrist in Versailles, KY. 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. CHILDRENS VISION AND LEARNING CENTER, PSC NPI is 1659594109. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 CROSSFIELD DR
VERSAILLES, KY
ZIP 40383-444
Phone: (859) 879-3665
Fax: (859) 879-3662

The provider's authorized official is Richard Graebe .
The authorized official title is Owner and has the following contact phone number (859) 879-0089.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 4/14/2015.


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 Therapy1044-DTKENTUCKYYes

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
177903557MEDICAIDKENTUCKY
2T54698MEDICARE UPINKENTUCKY

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.