DELAWARE VISION ACADEMY LLC (NPI# 1518092659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518092659 |
| Entity Type | Organization |
| Organization Name | DELAWARE VISION ACADEMY LLC |
| Practice Address |
3105 Limestone Rd Suite 102 Wilmington DE 19808-2147 |
| Mailing Address |
212 Cunane Cir Newark DE 19702-2074 |
| Practice Telephone | 3029981395 |
| Practice Fax Number | 3029986784 |
| Mailing Telephone | 3029981395 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-02-27 |
| Authorized Official Name | DR. DON DAVID BLACKBURN (PRESIDENT) |
| Authorized Official Telephone | 3029981395 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | I3-0001218 | DE | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
I3-0001218 | DE | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
I3-0001218 | DE | Eye and Vision Services Providers |
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
I3-0001218 | DE | Eye and Vision Services Providers |
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
I3-0001218 | DE | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | COVENTRY | 258125 | 01 |
| Street Address |
3105 LIMESTONE RD SUITE 102 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19808-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539033 | Rebecca Jaffe | Family Medicine | 3105 Limestone Rd, Ste 300, Wilmington, DE 19808-2156 | 2005-06-24 |
| 1114305976 | Practice Without Pressure Pike Creek | Clinic/Center | 3105 Limestone Rd, Suite 210, Wilmington, DE 19808-2147 | 2015-05-13 |
| 1033445101 | Burke Dental Associates LLC | Dentist | 3105 Limestone Rd, Suite 305, Wilmington, DE 19808-2147 | 2009-10-26 |
| 1164698320 | Cardiology Consultants | Internal Medicine | 3105 Limestone Rd, Suite 202, Wilmington, DE 19808-2147 | 2008-05-07 |
| 1134316144 | Jeffrey Evan Felzer | Dentist | 3105 Limestone Rd, Suite 203, Wilmington, DE 19808-2147 | 2007-10-03 |
| 1740476605 | Sherri N Campbell | Physician Assistant | 3105 Limestone Rd, Suite 202, Wilmington, DE 19808-2151 | 2007-09-24 |
| 1538388335 | Mark Christopher Dellose | Dentist | 3105 Limestone Rd, Suite 304, Wilmington, DE 19808-2147 | 2007-04-24 |
| 1013136738 | J.michael Fay, D.d.s.,p.a. | Dentist | 3105 Limestone Rd, Suite 304, Wilmington, DE 19808-2147 | 2007-04-24 |
| 1295954006 | Robert Girard Hahn | Dentist | 3105 Limestone Rd, Suite 304, Wilmington, DE 19808-2147 | 2007-04-24 |
| 1548392426 | John Burke, Jr., D.d.s. | Dentist | 3105 Limestone Rd, Suite 305, Wilmington, DE 19808-2147 | 2007-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1861045544 | Terry Lea Ramsey | Social Worker | 5234 W. Woodmill Drive, Unit 46, Wilmington, DE 19808 | 2019-07-22 |
| 1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
| 1225551948 | Donald Lambert IIi | Massage Therapist | 1900 Newport Gap Pike, Wilmington, DE 19808 | 2017-07-25 |
| 1952830374 | Rachelle Najula Mclellan | Physical Therapist | 2215 Saint Francis St, Wilmington, DE 19808 | 2017-06-08 |
| 1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
| 1316321599 | Wayne Kevin Pansa Jr. | Social Worker | 5205 W Woodmill Dr Ste 33, Wilmington, DE 19808 | 2015-07-16 |
| Find all providers in zip 19808 | ||||
| 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 |
|---|---|---|---|---|
| 1528184058 | Christy Marie Slagle | Optometrist | 3105 Limeston Rd, Wilmington, DE 21921 | 2007-03-22 |
| City | WILMINGTON |
| Zip Code | 19808 |
Please comment or provide details below to improve the information on DELAWARE VISION ACADEMY LLC.
| 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.