Dynamic Center for Vision Therapy, P.C.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

Legal business name

DYNAMIC CENTER FOR VISION THERAPY, P.C.

Practice address

1891 Bay Scott Cir
Suite 109
Naperville, IL 60540-1137

Phone

(630) 857-3873

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Ryan Edwards, O.D.

Title

President

Phone

(701) 320-3840

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1760849681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 BAY SCOTT CIR",
            "address_2": "SUITE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 BAY SCOTT CIR",
            "address_2": "SUITE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401137",
            "telephone_number": "630-857-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CENTER FOR VISION THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-320-3840",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vision Therapy Optometrist in Naperville, IL
• Providers in Naperville, IL by specialty
• Vision Therapy Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.