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FAMILY VISION THERAPY PC NPI 1912209768


NPI Information

NPI: 1912209768
Provider Name: FAMILY VISION THERAPY PC

Doing Business As: FAMILY VISION DEVELOPMENT CENTER

Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
444 N EOLA RD
#105
AURORA, IL
ZIP 60502
Phone: (630) 862-2020
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FAMILY VISION THERAPY PC is a vision therapy optometrist in Aurora, IL. 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. FAMILY VISION THERAPY PC NPI is 1912209768. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Family Vision Development Center.

The provider's business location address is:

444 N EOLA RD
#105
AURORA, IL
ZIP 60502-615
Phone: (630) 862-2020
Fax: (630) 862-2027

The provider's authorized official is David Martin .
The authorized official title is President and has the following contact phone number (630) 862-2020.

The enumeration date for this NPI number is 11/30/2010 and was last updated on 10/1/2011.


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 Therapy046-009753ILLINOISYes

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
1IL4373MEDICARE PINILLINOIS

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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