CHILDRENS VISION AND LEARNING CENTER PSC NPI 1659594109

NPI Information

  • NPI: 1659594109
  • Provider Name: CHILDRENS VISION AND LEARNING CENTER, PSC
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Organization
  • Address: 105 CROSSFIELD DR
    VERSAILLES, KY
    ZIP 40383
  • Phone: (859) 879-3665

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
177903557MEDICAIDKENTUCKY
2T54698MEDICARE UPINKENTUCKY

What is NPI?

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This page was last updated on: 3/30/2025

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