KRISTEN MICHELLE VINCENT (NPI# 1730677899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730677899 |
| Entity Type | Individual |
| Full Name | KRISTEN MICHELLE VINCENT |
| Practice Address |
17-10 Fair Lawn Ave Fair Lawn NJ 07410-2324 |
| Mailing Address |
502 W Market St Ste A Georgetown DE 19947-2322 |
| Practice Telephone | 2017947977 |
| Mailing Telephone | 3028562020 |
| Mailing Fax Number | 3028564970 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
27OA00676300 | NJ | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437225646 | Kristen Elizabeth Vincent | Speech-Language Pathologist | 4711 Golf Rd Ste 1100, Skokie, IL 60076-1249 | 2006-11-28 |
| Street Address |
17-10 FAIR LAWN AVE |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114089836 | Leonard J Press | Optometrist | 17-10 Fair Lawn Ave, 2nd Fl, Fair Lawn, NJ 07410-2324 | 2006-12-16 |
| 1215538053 | Milony Sanghvi | Optometrist | 17-10 Fair Lawn Ave, Fair Lawn, NJ 07410-2324 | 2020-11-06 |
| 1831624485 | Visual Performance and Learning Center PC | Optometrist | 17-10 Fair Lawn Ave, 2nd Floor, Fair Lawn, NJ 07410-2324 | 2017-04-20 |
| 1174062681 | Advocare, LLC | Pediatrics | 17-10 Fair Lawn Ave, Fair Lawn, NJ 07410-2324 | 2017-02-16 |
| 1912374299 | Melissa Kendall | Optometrist | 17-10 Fair Lawn Ave, Fair Lawn, NJ 07410-2324 | 2015-08-21 |
| 1750716098 | Nicole E Kress | Optometrist | 17-10 Fair Lawn Ave, Fair Lawn, NJ 07410-2304 | 2013-09-05 |
| 1659631331 | Emily Frances Fischer | Pediatrics | 17-10 Fair Lawn Ave, Fair Lawn, NJ 07410-2324 | 2012-05-29 |
| 1245518323 | Laura Jean Knapp | Optometrist | 17-10 Fair Lawn Ave, 2nd Floor, Fair Lawn, NJ 07410-2324 | 2011-07-24 |
| 1235250523 | Joyce S Waintraub | Optometrist | 17-10 Fair Lawn Ave, Fair Lawn, NJ 07410-2324 | 2007-04-03 |
| 1770603110 | Family Eyecare Associates, PC | Optometrist | 17-10 Fair Lawn Ave, 2nd Fl, Fair Lawn, NJ 07410-2324 | 2007-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| 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 |
|---|---|---|---|---|
| 1831624485 | Visual Performance and Learning Center PC | Optometrist | 17-10 Fair Lawn Ave, 2nd Floor, Fair Lawn, NJ 07410-2324 | 2017-04-20 |
| 1245437755 | Terrylee Maimone O.d, P.c | Optometrist | 32-01 Broadway, Fair Lawn, NJ 07410-4616 | 2007-06-28 |
| 1235250523 | Joyce S Waintraub | Optometrist | 17-10 Fair Lawn Ave, Fair Lawn, NJ 07410-2324 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841453529 | Marianne B Cidis | Optometrist | 50 Maple Avenue, Morristown, NJ 07960 | 2008-07-03 |
| 1164465167 | Benjamin Clarence Lane | Optometrist | 16 N Beverwyck Rd, Lake Hiawatha, NJ 07034-2502 | 2006-06-14 |
| 1770537060 | Estelle Joanna Roberts | Optometrist | 575 Route 28, Suite 201a, Raritan, NJ 08869-1354 | 2006-05-20 |
| 1932719143 | Emma Karlin | Optometrist | 1777 Kuser Rd, Hamilton Square, NJ 08690-3703 | 2020-08-03 |
| 1710544564 | Jamie John | Optometrist | 1777 Kuser Rd, Trenton, NJ 08690-3703 | 2019-05-28 |
| 1588152276 | Vision Therapy of South Jersey Inc | Optometrist | 2910 Route 130, Delran, NJ 08075-2522 | 2018-04-27 |
| 1477060267 | Montenare Eye Care & Vision Therapy LLC | Optometrist | 541 Cedar Hill Ave Ste H, Wyckoff, NJ 07481-2150 | 2018-01-03 |
| 1841608080 | Eyecare Professionals, P.C. | Optometrist | 1777 Kuser Rd, Hamilton Square, NJ 08690-3703 | 2014-07-31 |
| 1386952885 | Vision Development Center of Mullica Hill New Jersey | Optometrist | 10 Baker Blvd, Mullica Hill, NJ 08062-1504 | 2010-09-17 |
| 1467649475 | Frank Bucciero Od | Optometrist | 100 Morris Ave, Springfield, NJ 07081-1427 | 2007-10-03 |
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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.