NPIMap

Organization Active NPI

Vision Therapy Center of Wisconsin, LLC

  • Vision Therapy Optometrist
  • Racine, WI
National Provider Identifier
1053842419
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
1567 Issued in WI
Legal business name
VISION THERAPY CENTER OF WISCONSIN, LLC
Practice address
1421 Washington Ave
Racine, WI 53403-2254
Phone
(262) 637-7494
Fax
(262) 637-7958
NPI assigned
Mar 27, 2017
Organization subpart
Yes
Parent organization
VISION CLINIC DR. SAVIN AND ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Dr. Bruce A Savin, O.D.NPI 1013999457
Title
Owner
Phone
(262) 637-7494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X 1567 WI Primary

Addresses

Primary practice location

1421 Washington Ave
Racine, WI 53403-2254

Mailing address

1421 Washington Ave
Racine, WI 53403-2254
Phone (262) 637-7494

National Provider Directory

National Provider Directory
Part of
Vision Clinic Dr Savin Ass

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1053842419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032254",
            "telephone_number": "262-637-7494",
            "fax_number": "262-637-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534032254",
            "telephone_number": "262-637-7494",
            "fax_number": "262-637-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION THERAPY CENTER OF WISCONSIN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISION CLINIC DR. SAVIN AND ASSOCIATES",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "SAVIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-637-7494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "WI",
            "license": "1567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.