Active NPI
Neuro-Vision Therapy Center LLC
- Vision Therapy Optometrist
- Rockville, MD
National Provider Identifier
1205401882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- Legal business name
- NEURO-VISION THERAPY CENTER LLC
- Practice address
- 3204 Tower Oaks Blvd Ste 450
Rockville, MD 20852-4382 - Phone
- (240) 669-6930
- NPI assigned
- May 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacqueline Doerr, O.D.
- Title
- Optometrist
- Phone
- (240) 669-6930
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | Primary |
Addresses
Primary practice location
3204 Tower Oaks Blvd Ste 450
Rockville, MD 20852-4382
Mailing address
3204 Tower Oaks Blvd Ste 450
Rockville, MD 20852-4382
Phone (240) 669-6930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/24346/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Rehabilitation Occupational Therapist
- Frederick, MD
- NPI 1851776983
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678492800000",
"number": "1205401882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 TOWER OAKS BLVD STE 450",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524382",
"telephone_number": "240-669-6930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3204 TOWER OAKS BLVD STE 450",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524382",
"telephone_number": "240-669-6930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO-VISION THERAPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-25",
"last_updated": "2023-03-11",
"certification_date": "2023-03-11",
"status": "A",
"authorized_official_last_name": "DOERR",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "240-669-6930",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.