DAVIDSON VISION THERAPY LLC (NPI# 1629681176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629681176 |
| Entity Type | Organization |
| Organization Name | DAVIDSON VISION THERAPY LLC |
| Practice Address |
12401 Olive Blvd Ste 206 Saint Louis MO 63141-5448 |
| Practice Telephone | 3146289100 |
| Practice Fax Number | 8442350998 |
| Mailing Telephone | 3146289100 |
| Mailing Fax Number | 8442350998 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | CHERYL L DAVIDSON (OD) |
| Authorized Official Telephone | 3146289100 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| ST LOUIS VISION THERAPY | Doing Business As Name - Organization |
| Street Address |
12401 OLIVE BLVD STE 206 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-5448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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 |
|---|---|---|---|---|
| 1790153948 | Troy L. Bell O.d. & Assoc PC | Optometrist | 2954 E Jackson Blvd, Jackson, MO 63755-2949 | 2015-09-04 |
| 1932371457 | Lisa B Dibler Od LLC | Optometrist | 171 Lamp and Lantern Village, Town and Country, MO 63017-8208 | 2008-03-25 |
| 1770508889 | David R Coleman | Optometrist | 1030 Se Murphy Blvd, Joplin, MO 64801-5043 | 2006-07-12 |
| 1215984224 | Justin Michael Schroeder | Optometrist | 400 Ward Ave, Caruthersville, MO 63830-1451 | 2006-05-27 |
| 1285687210 | Susan Lake | Optometrist | 601 E Russell Ave, Suite A, Warrensburg, MO 64093-9605 | 2006-05-19 |
| 1679527253 | Lisa B Dibler | Optometrist | 266 Lamp and Lantern Vlg, Chesterfield, MO 63017-8209 | 2006-05-19 |
| 1104302660 | Sneha Bagavandoss | Optometrist | 507 S Lincoln Ave, Union, MO 63084-2121 | 2018-07-17 |
| 1932330644 | David R Coleman Od LLC | Optometrist | 1030 Se Murphy Blvd, Joplin, MO 64801-5043 | 2009-07-29 |
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on DAVIDSON VISION THERAPY 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.