NPIMap

Organization Active NPI

Vision Development Center

  • Vision Therapy Optometrist
  • Jasper, IN
National Provider Identifier
1154553857
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
18003529A Issued in IN
Legal business name
VISION DEVELOPMENT CENTER
Practice address
255 W 36TH St
Ste. 240
Jasper, IN 47546-7849
Phone
(812) 481-2100
Fax
(812) 481-2144
NPI assigned
Aug 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Dr. Joan Bauernfiend, ODNPI 1770746315
Title
President
Phone
(812) 631-1888

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: 193400000X SINGLE SPECIALTY GROUP 152WV0400X 18003529A IN Primary

Addresses

Primary practice location

255 W 36TH St
Ste. 240
Jasper, IN 47546-7849

Mailing address

9412 E State Road 64
Apt a
Velpen, IN 47590-8857
Phone (812) 631-1888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1154553857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 E STATE ROAD 64",
            "address_2": "APT A",
            "city": "VELPEN",
            "state": "IN",
            "postal_code": "475908857",
            "telephone_number": "812-631-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 36TH ST",
            "address_2": "STE. 240",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475467849",
            "telephone_number": "812-481-2100",
            "fax_number": "812-481-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "BAUERNFIEND",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-631-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "IN",
            "license": "18003529A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.