Park Vision Therapy LLC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

Legal business name

PARK VISION THERAPY LLC

Practice address

205 W Main St
Suite 307B
Somerville, NJ 08876-2834

Phone

(908) 725-1770

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gullmaj L. Roberts, PHD

Title

Owner

Phone

(908) 725-1772

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1235448887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W MAIN ST",
            "address_2": "SUITE 307B",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762834",
            "telephone_number": "908-725-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W MAIN ST",
            "address_2": "SUITE 307B",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762834",
            "telephone_number": "908-725-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VISION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GULLMAJ",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-725-1772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gene Vincent Pacelli, M.D.
• Richard Palumbo, LCSW
• Padma Palvai, MD
• Jennifer Panicker, PA-C
• Rocco Anthony Panico Jr., PA-C
• Danielle Pasko
• Akhil Rajesh Patel, MD
• Dhiren K Patel
• Eshan Patel, M.D.
• Gopi Patel

• Vision Therapy Optometrist in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Vision Therapy Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.