PEDIATRIC VISION DEVELOPMENT CENTER OF GWINNETT (NPI# 1669880936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669880936 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC VISION DEVELOPMENT CENTER OF GWINNETT |
| Practice Address |
2055 Hamilton Creek Pkwy Ste 120 Dacula GA 30019-7204 |
| Practice Telephone | 7709040979 |
| Mailing Telephone | 7709040979 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2016-08-22 |
| 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 |
2355 | GA | Eye and Vision Services Providers |
| Street Address |
2055 HAMILTON CREEK PKWY STE 120 |
| City | DACULA |
| State | GA |
| Zip Code | 30019-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1659789923 | Pediatric Vision Development Center of Forsyth | Optometrist | 2920 Ronald Reagan Blvd, Ste 104, Cumming, GA 30041-6206 | 2014-07-30 |
| 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.