PEDIATRIC VISION DEVELOPMENT CENTER OF FORSYTH (NPI# 1659789923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659789923 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC VISION DEVELOPMENT CENTER OF FORSYTH |
| Practice Address |
2920 Ronald Reagan Blvd Ste 104 Cumming GA 30041-6206 |
| Mailing Address |
3452 Lake Mill Rd Buford GA 30519-5349 |
| Practice Telephone | 7709040979 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |
| Authorized Official Name | DR. JOSEPH ROUW (OWNER) |
| Authorized Official Telephone | 6784482854 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
2353 | GA | Eye and Vision Services Providers |
| Street Address |
2920 RONALD REAGAN BLVD STE 104 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-6206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753701 | Joseph Rouw | Optometrist | 2920 Ronald Reagan Blvd, Ste 104, Cumming, GA 30041-6206 | 2005-07-11 |
| 1376695627 | Amy Catherine Wallace | Occupational Therapist | 2920 Ronald Reagan Blvd, Ste 110, Cumming, GA 30041 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| 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 |
|---|---|---|---|---|
| 1316074412 | Kimberley Anne Linert | Optometrist | 2320 Atlanta Hwy, Cumming, GA 30040-6339 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669880936 | Pediatric Vision Development Center of Gwinnett | Optometrist | 2055 Hamilton Creek Pkwy, Ste 120, Dacula, GA 30019-7204 | 2014-07-30 |
| 1538499033 | Vision Savers, Inc | Optometrist | 96 N Bennett St, Forsyth, GA 31029-1977 | 2010-01-05 |
| 1871716654 | James Edwin Behrens | Optometrist | 350 Ferst Dr Nw, Atlanta, GA 30332-0001 | 2007-04-10 |
| 1962596627 | Jennifer A Dattolo | Optometrist | 1075 Buckhead Xing, Suite 130, Woodstock, GA 30189-4262 | 2006-10-03 |
| 1578667986 | Leonard Achiron | Optometrist | 3619 S Fulton Ave, Suite 100, Hapeville, GA 30354-1710 | 2006-09-08 |
| 1417288671 | Vision Savers, Inc | Optometrist | 2203 Watson Blvd, Suite 55, Warner Robins, GA 31093-2994 | 2010-01-27 |
| 1093045593 | Vision Savers, Inc | Optometrist | 2103 Veterans Blvd, Suite 5, Dublin, GA 31021-7502 | 2010-01-05 |
| 1568792067 | Vision Savers | Optometrist | 3661 Eisenhower Pkwy, Suite 55, Macon, GA 31206-3649 | 2010-01-05 |
| 1316129463 | Andrea J. Washington O.d. PC | Optometrist | 4106 Mill St Ne Ste A, Covington, GA 30014-2539 | 2007-11-30 |
| 1427177146 | Rachael Sweeney | Optometrist | 5380 Roswell Rd Ne, Atlanta, GA 30342-1916 | 2007-03-28 |
| 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.