ACADEMY OF VISION DEVELOPMENT, PLLC (NPI# 1548628415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548628415 |
| Entity Type | Organization |
| Organization Name | ACADEMY OF VISION DEVELOPMENT, PLLC |
| Other Organization Name | AVD |
| Practice Address |
6617 Crossings Dr Se Suite 102 Grand Rapids MI 49508-7378 |
| Practice Telephone | 6165417080 |
| Practice Fax Number | 6165417088 |
| Mailing Telephone | 6165417080 |
| Mailing Fax Number | 6165417088 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |
| Authorized Official Name | DR. ANGELA L SANDERS (SOLE OWNER/MEMBER) |
| Authorized Official Telephone | 6164859804 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
4901004369 | MI | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| AVD | Doing Business As Name - Organization |
| Street Address |
6617 CROSSINGS DR SE SUITE 102 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508-7378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| 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 |
|---|---|---|---|---|
| 1548675242 | Davich Midwest Inc | Optometrist | 2825 28th St Se, Grand Rapids, MI 49512-1607 | 2014-06-22 |
| 1891247813 | Gr Davich Inc | Optometrist | 2825 28th St Se, Suite B, Grand Rapids, MI 49512-1607 | 2016-10-25 |
| 1548622426 | Alyssa Lauren Bartolini | Optometrist | 3152 Peregrine Dr Ne, Grand Rapids, MI 49525-9723 | 2016-03-22 |
| 1801275193 | World Wide Vision Therapy Centers, L.L.C. | Optometrist | 3152 Peregrine Dr Ne, Suite C205, Grand Rapids, MI 49525-9723 | 2015-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427585801 | Frye's New Look Optical | Optometrist | 12897 Woodward Ave, Highland Park, MI 48203-3315 | 2017-05-17 |
| 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 |
| 1497173322 | Dietrich PC | Optometrist | 300 S State St, Harrisville, MI 48740-9408 | 2014-03-28 |
| 1003237082 | Vision Therapy Center | Optometrist | 395 S Shore Dr, Suite #101, Battle Creek, MI 49014-5466 | 2013-12-18 |
| 1639418932 | West Michigan Vision Specialists | Optometrist | 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 | 2013-02-06 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
Please comment or provide details below to improve the information on ACADEMY OF VISION DEVELOPMENT, PLLC.
| 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.