SENSORY SOURCE, LLC (NPI# 1326268186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326268186 |
Entity Type | Organization |
Organization Name | SENSORY SOURCE, LLC |
Other Organization Name | SENSORY LEARNING CENTER OF WEST MICHIGAN |
Practice Address |
11301 Commerce Dr Suite A Allendale MI 49401-8200 |
Practice Telephone | 6168959550 |
Practice Fax Number | 6168925166 |
Mailing Telephone | 6168959550 |
Mailing Fax Number | 6168925166 |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. PATRICIA MARIE ROSLUND (OPTOMETRIST, LLC MANAGER) |
Authorized Official Telephone | 6168959550 |
Authorized Official Credential | O.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
4901003210 | MI | Eye and Vision Services Providers |
Other Name | Type Code |
---|---|
Sensory Learning Center of West Michigan | Doing Business As Name - Organization |
Street Address |
11301 COMMERCE DR SUITE A |
City | ALLENDALE |
State | MI |
Zip Code | 49401-8200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851341598 | Patricia Marie Roslund | Optometrist | 11301 Commerce Dr, Ste. A, Allendale, MI 49401-8200 | 2006-05-11 |
1851870299 | Nicholas Thomas Mcbride | Physical Medicine & Rehabilitation | 11301 Commerce Dr, Allendale, MI 49401-8200 | 2018-08-07 |
1093121972 | Stephen Meade | Dentist | 11301 Commerce Dr, Allendale, MI 49401-8200 | 2014-07-11 |
1073953378 | Mary Jo Kleyn | Physical Therapy Assistant | 11301 Commerce Dr, Suite B, Allendale, MI 49401-8200 | 2013-07-01 |
1821362229 | Hearing Professionals of America LLC | Hearing Aid Equipment | 11301 Commerce Dr, Suite A, Allendale, MI 49401-8200 | 2012-03-02 |
1407020548 | Meade Family Dentistry P.C. | Dentist | 11301 Commerce Dr, Allendale, MI 49401-8200 | 2008-04-19 |
1184803744 | Amanda M Felton | Specialist/Technologist | 11301 Commerce Dr, Ste B, Allendale, MI 49401-8200 | 2007-10-31 |
1124122445 | Physiotherapy Associates Inc | Clinic/Center | 11301 Commerce Dr, Suite B, Allendale, MI 49401-8200 | 2006-09-08 |
1225044183 | Scott David Macdonald | Physical Therapist | 11301 Commerce Dr, Suite B, Allendale, MI 49401-8200 | 2006-07-31 |
1497799373 | Tim R Meade | Dentist | 11301 Commerce Dr, Allendale, MI 49401-8200 | 2006-06-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
Find all providers in zip 49401 |
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 |
---|---|---|---|---|
1427585801 | Frye's New Look Optical | Optometrist | 12897 Woodward Ave, Highland Park, MI 48203-3315 | 2017-05-17 |
1548628415 | Academy of Vision Development, Pllc | Optometrist | 6617 Crossings Dr Se, Suite 102, Grand Rapids, MI 49508-7378 | 2016-02-05 |
1548675242 | Davich Midwest Inc | Optometrist | 2825 28th St Se, Grand Rapids, MI 49512-1607 | 2014-06-22 |
1063844108 | Tuan Tran | Optometrist | 19700 14 Mile Rd, C306, Big Rapids, MI 49307-8757 | 2013-07-31 |
1932300928 | Vision Associates of Westland | Optometrist | 38979 Cherry Hill Rd., Suite B, Westland, MI 48186 | 2007-05-29 |
1437212560 | John Paul Jacobi | Optometrist | 32415 5 Mile Rd, Livonia, MI 48154-3039 | 2006-12-19 |
1174590285 | Randy Gerard Houdek | Optometrist | 38979 Cherry Hill Rd, Suite B, Westland, MI 48186-3250 | 2006-03-07 |
1285293738 | G Stephanie Enriquez Od Pllc | Optometrist | 4091 Richfield Rd, Flint, MI 48506-2033 | 2019-06-09 |
1801383260 | Vision Therapy Institute of Mi, LLC | Optometrist | 330 W Lake Lansing Rd, East Lansing, MI 48823-8527 | 2018-04-20 |
1891247813 | Gr Davich Inc | Optometrist | 2825 28th St Se, Suite B, Grand Rapids, MI 49512-1607 | 2016-10-25 |
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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.