4D OPTOMETRY, LLC (NPI# 1215376967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215376967 |
| Entity Type | Organization |
| Organization Name | 4D OPTOMETRY, LLC |
| Other Organization Name | 4D VISION GYM |
| Practice Address |
181 Shunpike Rd Cromwell CT 06416-1143 |
| Practice Telephone | 8606328423 |
| Mailing Telephone | 8606328423 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | DR. JUANITA D COLLIER (OPTOMETRIST) |
| Authorized Official Telephone | 8606328243 |
| Authorized Official Credential | MS, OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
2779 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11999461 | 01 |
| Other Name | Type Code |
|---|---|
| 4D Vision Gym | Doing Business As Name - Organization |
| Street Address |
181 SHUNPIKE RD |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286621 | Leandra Hylton | Occupational Therapist | 181 Shunpike Rd, Cromwell, CT 06416-1143 | 2020-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| 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. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| 1982104535 | Institute for Integrated Vision, LLC | Optometrist | 1425 Bedford St Ste 1m, Stamford, CT 06905-5203 | 2018-02-20 |
| 1710218607 | Total Learning and Therapy Center | Optometrist | 94 Wedgewood Dr, Manchester, CT 06042-2735 | 2010-01-17 |
| 1588669220 | Susan C Danberg | Optometrist | 212 New London Tpke, Glastonbury, CT 06033 | 2005-06-18 |
| 1053763557 | Meghan Corkery | Optometrist | 17 S Main St, West Hartford, CT 06107 | 2016-07-07 |
| 1386066298 | April Spurling | Optometrist | 37 Soundview Rd, Guilford, CT 06437-2916 | 2014-01-11 |
| 1447553482 | Susan C Danberg Od PC | Optometrist | 212 New London Tpke, Glastonbury, CT 06033-4202 | 2010-12-14 |
| 1013195064 | Laura Ann White | Optometrist | 23 Clara Dr, Visions Sight and Learning Center, Mystic, CT 06355 | 2008-02-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.