Organization Active NPI

The Vision Therapy Center, Inc.

  • Vision Therapy Optometrist
  • Brookfield, WI
National Provider Identifier
1396903233
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
2553-035 Issued in WI
Legal business name
THE VISION THERAPY CENTER, INC.
Practice address
13255 W Bluemound Rd
Suite 200
Brookfield, WI 53005-6245
Phone
(262) 784-9201
Fax
(262) 784-9206
NPI assigned
May 28, 2008
Last updated
May 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Miss Kellye Joy Knueppel, OD, FCOVDNPI 1386616324
Title
President
Phone
(262) 784-9201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X 2553-035 WI Primary

Addresses

Primary practice location

13255 W Bluemound Rd
Suite 200
Brookfield, WI 53005-6245

Mailing address

13255 W Bluemound Rd
Suite 200
Brookfield, WI 53005-6245
Phone (262) 784-9201

National Provider Directory

National Provider Directory

Locations

13255 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 784-9201

Practitioners & affiliated clinicians

Practitioners 2

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": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1396903233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13255 W BLUEMOUND RD",
            "address_2": "SUITE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056245",
            "telephone_number": "262-784-9201",
            "fax_number": "262-784-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13255 W BLUEMOUND RD",
            "address_2": "SUITE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056245",
            "telephone_number": "262-784-9201",
            "fax_number": "262-784-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VISION THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "KNUEPPEL",
        "authorized_official_first_name": "KELLYE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-784-9201",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OD, FCOVD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "WI",
            "license": "2553-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.