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VISION DEVELOPMENT CENTER LLC NPI 1891856282


NPI Information

NPI: 1891856282
Provider Name: VISION DEVELOPMENT CENTER LLC

Former Legal Business Name: BIRMINGHAM VISION THERAPY LLC

Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
4114 W MAPLE RD
BLOOMFIELD TWP, MI
ZIP 48301
Phone: (248) 539-4804
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VISION DEVELOPMENT CENTER LLC is a vision therapy optometrist in Bloomfield Twp, MI. 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. VISION DEVELOPMENT CENTER LLC NPI is 1891856282. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Birmingham Vision Therapy Llc.

The provider's business location address is:

4114 W MAPLE RD
BLOOMFIELD TWP, MI
ZIP 48301
Phone: (248) 539-4804
Fax: (248) 539-4894

The provider's authorized official is Frances Poma-nowinski .
The authorized official title is Owner and has the following contact phone number (248) 539-4800.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 3/23/2023.


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 TherapyYes

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
190OF301069OTHERMICHIGANBCBS MI

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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