DEVELOPMENTAL VISION CENTER (NPI# 1932352994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932352994 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL VISION CENTER |
| Practice Address |
2075 Wiesbrook Rd Oswego IL 60543-8312 |
| Practice Telephone | 6308440908 |
| Practice Fax Number | 6308440677 |
| Mailing Telephone | 6308440908 |
| Mailing Fax Number | 6308440677 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |
| Authorized Official Name | DR. CHULA LERDVORATAVEE (PRESIDENT) |
| Authorized Official Telephone | 6308440908 |
| 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 |
046007841 | IL | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DEVELOPMENTAL VISION CENTER OF CNY, LLC | P.o. Box 368, Mexico, Ny 13114 |
| Street Address |
2075 WIESBROOK RD |
| City | OSWEGO |
| State | IL |
| Zip Code | 60543-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687332 | Graceful Therapy, LLC | Marriage & Family Therapist | 2683 Route 34, Oswego, IL 60543 | 2018-07-30 |
| 1235669763 | Elizabeth Lassandrello Bremner | Counselor | 123 W. Washington St, Oswego, IL 60543 | 2017-06-18 |
| 1205365699 | The Wisdom Shuttle, Inc. | Non-emergency Medical Transport (VAN) | 234 Springbrook Trail South, Oswego, IL 60543 | 2017-06-08 |
| 1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
| 1033588686 | George Pearah | Internal Medicine | 408 Sudbury Circle, Oswego, IL 60543 | 2015-09-24 |
| 1619375078 | Kathryn Elyse Fish | Marriage & Family Therapist | 123 W Washington St Ste B-08, Oswego, IL 60543 | 2014-12-16 |
| 1821410713 | Amanda Southwell | Social Worker | 512 Affirmed Dr, Oswego, IL 60543 | 2014-01-10 |
| 1073852158 | James A. Sandrolini | Surgery | 245 Gray's Dr., Oswego, IL 60543 | 2013-02-08 |
| 1649514035 | Kelly L Mangler | Pharmacist | 2030 Route 34, Oswego, IL 60543 | 2012-11-26 |
| 1730483280 | Little Talkers, Speech and Language Therapy, LLC | Speech-Language Pathologist | 809 Barton Drive, Oswego, IL 60543 | 2010-12-27 |
| Find all providers in zip 60543 | ||||
| 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 |
|---|---|---|---|---|
| 1962639781 | Plano Child Development Center | Optometrist | 5401 S Wentworth Ave Ste 14a, Chicago, IL 60609-6300 | 2009-06-18 |
| 1043495179 | Christine D Clark | Optometrist | 221 Woodland Ave, Bloomington, IL 61701-5659 | 2008-01-08 |
| 1881812162 | Dr Neil W Margolis Od PC | Optometrist | 3250 N. Arlington Heights Rd, Suite 109, Arlington Heights, IL 60004-1534 | 2007-04-23 |
| 1821196114 | Jeffrey H. Getzell | Optometrist | 1740 N. Ridge Ave., Ste. 100-b, Evanston, IL 60201-5918 | 2006-09-20 |
| 1750330411 | Vision Salon Eye Care Associates | Optometrist | 13046 Western Ave, Blue Island, IL 60406-2419 | 2006-05-09 |
| 1851741714 | Brain-eye Evolution At 730 North | Optometrist | 730 N Milwaukee Ave, Libertyville, IL 60048-1914 | 2016-06-21 |
| 1760849681 | Dynamic Center for Vision Therapy, P.C. | Optometrist | 1891 Bay Scott Cir, Suite 109, Naperville, IL 60540-1137 | 2016-01-22 |
| 1851786214 | Vision Development and Rehabilitation Consultants LLC | Optometrist | 360 S Waukegan Rd, Suite A2, Deerfield, IL 60015-5653 | 2015-04-02 |
| 1982982385 | Clarendon Vision Development Center | Optometrist | 103 Ogden Ave, Clarendon Hills, IL 60514-1027 | 2011-08-02 |
| 1912209768 | Family Vision Therapy PC | Optometrist | 444 N Eola Rd, #105, Aurora, IL 60502-9615 | 2010-11-30 |
| Find all providers with the same taxonomy | ||||
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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.