COMMUNITY VISION THERAPY ASSOCIATES (NPI# 1053615286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053615286 |
| Entity Type | Organization |
| Organization Name | COMMUNITY VISION THERAPY ASSOCIATES |
| Practice Address |
403 Washington St Shelbyville KY 40065-1127 |
| Practice Telephone | 5026473937 |
| Mailing Telephone | 5026473937 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |
| Authorized Official Name | DR. DANIEL M BOWERSOX (OWNER) |
| Authorized Official Telephone | 5026473937 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
1301DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 77013019 | 05 |
| Street Address |
403 WASHINGTON ST |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013972405 | Daniel Mark Bowersox | Optometrist | 403 Washington St, Shelbyville, KY 40065-1127 | 2006-04-19 |
| 1366963274 | Lauren M Mckinch | Optometrist | 403 Washington St, Shelbyville, KY 40065 | 2017-06-30 |
| 1154706521 | Stuart Boyd Young | Optometrist | 403 Washington St, Shelbyville, KY 40065-1127 | 2015-07-27 |
| 1720115702 | Bowersox Vision Center, Psc | Optometrist | 403 Washington St, Shelbyville, KY 40065-1127 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| 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 |
|---|---|---|---|---|
| 1649286576 | Kathy Lynn Shamblin | Optometrist | 915 Colloredo Blvd, Shelbyville, TN 37160-2780 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821268392 | Carol Lynn Deitz O D Inc | Optometrist | 581 Dudley Rd., Edgewood, KY 41017-3296 | 2008-03-11 |
| 1255400933 | Familylife Vision Care, Psc | Optometrist | 2816 Bluegrass Dr Ste A, Highland Heights, KY 41076-1589 | 2006-11-07 |
| 1578502258 | Eye Health Specialists II, Pllc | Optometrist | 713 E Main St, Stanford, KY 40484-1404 | 2006-06-06 |
| 1285689166 | Eye Health Specialists, Pllc | Optometrist | 2835 S Highway 27, Ste 196, Somerset, KY 42501-3042 | 2006-05-23 |
| 1619973112 | Carl W. Sydnor | Optometrist | 732 High St, Brandenburg, KY 40108-1234 | 2005-06-21 |
| 1811313539 | Advanced Vision of Louisville | Optometrist | 4414 Shelbyville Road, Suite 204, Louisville, KY 40207 | 2014-03-06 |
| 1659594109 | Childrens Vision and Learning Center, Psc | Optometrist | 105 Crossfield Dr, Versailles, KY 40383-1444 | 2007-04-11 |
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on COMMUNITY VISION THERAPY ASSOCIATES.
| 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.