Vision Development Center of Mullica Hill New Jersey

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

TO00525 Issued in NJ

Legal business name

VISION DEVELOPMENT CENTER OF MULLICA HILL NEW JERSEY

Practice address

10 Baker Blvd
Mullica Hill, NJ 08062-1504

Phone

(856) 223-1626

Fax

(856) 223-1626

NPI assigned

Sep 17, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Tamara Kostick

Title

Manager

Phone

(856) 223-1626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1386952885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BAKER BLVD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621504",
            "telephone_number": "856-223-1626",
            "fax_number": "856-223-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BAKER BLVD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621504",
            "telephone_number": "856-223-1626",
            "fax_number": "856-223-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION DEVELOPMENT CENTER OF MULLICA HILL NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "KOSTICK",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-223-1626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "TO00525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Venuto, DMD
• Vicky Theresa Verdieu, MD
• Meagan W Vermeulen, M.D.
• Victory Physical Therapy PC
• Virtua Medical Group, PA
• Pranay Vissa
• Naveen Viswanath
• Mary Kathleen Voit, DO
• Sara Volk-Perez, PT, DPT
• Andrew Vu, DO

• Vision Therapy Optometrist in Mullica Hill, NJ
• Providers in Mullica Hill, 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 Sep 17, 2010; 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.