PEDIATRIC VISION DEVELOPMENT CENTER INC.


Address: 101 Dawn Dr, Centerton, AR 72719-9314
Phone: 4797951411

PEDIATRIC VISION DEVELOPMENT CENTER INC. (NPI# 1558427021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558427021
Entity Type Organization
Organization Name PEDIATRIC VISION DEVELOPMENT CENTER INC.
Practice Address 101 Dawn Dr
Centerton
AR 72719-9314
Practice Telephone 4797951411
Practice Fax Number 4797951412
Mailing Telephone 4797951411
Mailing Fax Number 4797951412
Enumeration Date 2006-12-29
Last Update Date 2013-12-18
Authorized Official Name DR. MEGAN PETTY (PRESIDENT)
Authorized Official Telephone 4797951411
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WV0400X Optometrist
Specialization: Vision Therapy
2568 AR Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR STATE LICENSE 2568 01

Office Location

Street Address 101 DAWN DR
City CENTERTON
State AR
Zip Code 72719-9314

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255332433 Megan Jo Petty Optometrist 101 Dawn Dr, Centerton, AR 72719-9314 2005-08-10
1730556580 Jacob Dufour Optometrist 101 Dawn Dr, Centerton, AR 72719-9314 2015-08-27
1457412991 Petty and Petty, P. A. Optometrist 101 Dawn Dr, Centerton, AR 72719-9314 2006-12-12
1588666499 Regan Skye Petty Optometrist 101 Dawn Dr, Centerton, AR 72719 2005-08-11

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1861967291 Apexnetwork Arkansas, LLC Physical Therapist 1128 E. Centerton Blvd, Centerton, AR 72719 2018-10-12
1568975761 Reeves Medical Associates, Pllc Internal Medicine 1415 E Centerton Blvd, Centerton, AR 72719 2017-11-09
1164948246 Jodie A Bone Behavioral Analyst 450 Walker Street, Centerton, AR 72719 2017-08-21
1225581606 Andrew Jason Phipps Dentist 807 West Centerton Blvd, Centerton, AR 72719 2016-08-02
1922429158 Chelsea Kinney Speech-Language Pathologist 427 Centerton Blvd, Centerton, AR 72719 2013-12-13
1467707166 Stacey Kirk Case Manager/Care Coordinator 250 East Centerton Blvd., Centerton, AR 72719 2012-07-18
1295994457 Tracie Leanne Downey Occupational Therapist 675 Brimwood Street, Centerton, AR 72719 2008-06-03
1124228382 Carolyn R Reeves Internal Medicine 1415 E Centeron Blvd, Centeron, AR 72719 2007-07-24
Find all providers in zip 72719

Taxonomy Information

Taxonomy Code 152WV0400X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Vision Therapy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255332433 Megan Jo Petty Optometrist 101 Dawn Dr, Centerton, AR 72719-9314 2005-08-10
1730556580 Jacob Dufour Optometrist 101 Dawn Dr, Centerton, AR 72719-9314 2015-08-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255593232 Dr Bryan Caplinger Pa Optometrist 116 Nathan, Marked Tree, AR 72365 2008-06-30
1447387170 Wanda Vaughn Optometrist 1021 S Waldron Rd, Fort Smith, AR 72903-2549 2007-02-28
1538563895 Vision Therapy Center of Jonesboro, P.l.l.c. Optometrist 3705 E Johnson Ave, Suite B, Jonesboro, AR 72401-1858 2014-10-15
1942326244 Arkansas Vision Development Center Pa Optometrist 1021 S Waldron Rd, Fort Smith, AR 72903-2549 2007-03-21

Competitor

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City CENTERTON
Zip Code 72719

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Dataset Information

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.

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