Active NPI
Vision and Conceptual Development Center LLC
- Vision Therapy Optometrist
- Chevy Chase, MD
National Provider Identifier
1598045957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- TA1930
- Legal business name
- VISION AND CONCEPTUAL DEVELOPMENT CENTER LLC
- Practice address
- 6900 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-6114 - Phone
- (301) 951-0320
- Fax
- (301) 951-0370
- NPI assigned
- Aug 17, 2011
- 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. Amanda R Zeller Manley, O.D.
- Title
- Owner
- Phone
- (301) 951-0320
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | TA1930 | MD | |
| Sports Vision Optometrist | 152WS0006X | TA1930 | MD | |
| Vision Therapy Optometrist | 152WV0400X | TA1930 | MD | Primary |
Addresses
Primary practice location
6900 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-6114
Mailing address
4608 S Chelsea LN
Bethesda, MD 20814-3718
Phone (301) 951-0320
National Provider Directory
National Provider DirectoryLocations
6900 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (301) 951-0320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1598045957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4608 S CHELSEA LN",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143718",
"telephone_number": "301-951-0320",
"fax_number": "301-951-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 WISCONSIN AVE",
"address_2": "SUITE 600",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156114",
"telephone_number": "301-951-0320",
"fax_number": "301-951-0370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION AND CONCEPTUAL DEVELOPMENT CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-17",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "ZELLER MANLEY",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-951-0320",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "MD",
"license": "TA1930",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": "MD",
"license": "TA1930",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": "MD",
"license": "TA1930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.