Community Vision Therapy Associates

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

1301DT Issued in KY

Legal business name

COMMUNITY VISION THERAPY ASSOCIATES

Practice address

403 Washington St
Shelbyville, KY 40065-1127

Phone

(502) 647-3937

NPI assigned

Jan 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel M Bowersox, OD

Title

Owner

Phone

(502) 647-3937

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1053615286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651127",
            "telephone_number": "502-647-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651127",
            "telephone_number": "502-647-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY VISION THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "BOWERSOX",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-647-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "KY",
            "license": "1301DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013019",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Deshae Collins, CF-SLP
• Maida E Colon, MD
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• Lauren Ashley Comer
• Commonwealth Urology Shelbyville
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• Comprehensive Foot & Ankle Centers
• Aubriana Rose Conklin, LPA
• Ayla Cook
• McKenzie Jo Cordell, PHD

• Vision Therapy Optometrist in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Vision Therapy Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.