Vision Therapy Center Inc.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

287319 Issued in AK

Legal business name

VISION THERAPY CENTER INC.

Practice address

16331 Heritage PL Ste 103
Eagle River, AK 99577-7753

Phone

(907) 694-4420

Fax

(907) 694-4421

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Jeffrey Keene, O.D.NPI 1568517928

Title

Owner

Phone

(907) 694-4420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Keene, O.D.

  • Vision Therapy Optometrist
  • Eagle River, AK
  • NPI 1568517928
  NPD Authorized official

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1972755874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16331 HERITAGE PL STE 103",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777753",
            "telephone_number": "907-694-4420",
            "fax_number": "907-694-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16331 HERITAGE PL STE 103",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777753",
            "telephone_number": "907-694-4420",
            "fax_number": "907-694-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION THERAPY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-694-4420",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "AK",
            "license": "287319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vacca Physiatry LLC
• Brian Domenic Vacca, MD
• Vanessa Van Cleve
• Mildred Margaret Vandergon, PT
• Lixue Burney Vanucci, OTD, OTR/L, LSVT-BIG
• Michael Joseph Vogel, PSY.D.
• Amanda Vogus, LMT
• Volunteers of America Alaska
• Volunteers of America Alaska, Arch 1115
• Danna Lee Voyer

• Vision Therapy Optometrist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Vision Therapy Optometrist in Alaska

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