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PEDIATRIC VISION DEVELOPMENT CENTER OF GWINNETT NPI 1669880936


NPI Information

NPI: 1669880936
Provider Name: PEDIATRIC VISION DEVELOPMENT CENTER OF GWINNETT
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
2055 HAMILTON CREEK PKWY
STE 120
DACULA, GA
ZIP 30019
Phone: (770) 904-0979
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PEDIATRIC VISION DEVELOPMENT CENTER OF GWINNETT is a vision therapy optometrist in Dacula, GA. 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. PEDIATRIC VISION DEVELOPMENT CENTER OF GWINNETT NPI is 1669880936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2055 HAMILTON CREEK PKWY
STE 120
DACULA, GA
ZIP 30019-204
Phone: (770) 904-0979

The provider's authorized official is Joseph Rouw .
The authorized official title is Owner and has the following contact phone number (678) 448-2854.

The enumeration date for this NPI number is 7/30/2014 and was last updated on 8/22/2016.


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 Therapy2355GEORGIAYes

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: 5/5/2024

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