Vision Development Center LLC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

Legal business name

VISION DEVELOPMENT CENTER LLC

Practice address

4114 W Maple Rd
Bloomfield TWP, MI 48301

Phone

(248) 539-4804

Fax

(248) 539-4894

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Frances Poma-Nowinski, OD

Title

Owner

Phone

(248) 539-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Birmingham Vision Therapy LLC Former legal business name

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1891856282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 W MAPLE RD",
            "city": "BLOOMFIELD TWP",
            "state": "MI",
            "postal_code": "48301",
            "telephone_number": "248-539-4804",
            "fax_number": "248-539-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 W MAPLE RD",
            "city": "BLOOMFIELD TWP",
            "state": "MI",
            "postal_code": "48301",
            "telephone_number": "248-539-4804",
            "fax_number": "248-539-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION DEVELOPMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "POMA-NOWINSKI",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-539-4800",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "90OF301069",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birmingham Vision Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Frances Patricia Poma Nowinski, OD
• Psychological Institutes of Michigan, P.C.
• Psychological Institutes of Michigan, P.C.
• Diane Roeder, MA
• Lloyd I Snider, OD

• Vision Therapy Optometrist in Bloomfield TWP, MI
• Providers in Bloomfield TWP, MI by specialty
• Vision Therapy Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.