ADVANCED VISION THERAPY CENTER LLC – NPI #1669808846
Optometrist

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

ADVANCED VISION THERAPY CENTER LLC is an optometrist located in BOISE, ID. NPPES has assigned the NPI number 1669808846 to ADVANCED VISION THERAPY CENTER LLC on September 19, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 152WV0400X from the Health Care Provider Taxonomy code set, which is classified as Optometrist, specializing in Vision Therapy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED VISION THERAPY CENTER LLC below.

NPI Profile for
ADVANCED VISION THERAPY CENTER LLC

NPI Number
1669808846
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED VISION THERAPY CENTER LLC
Primary location
7960 W RIFLEMAN ST
SUITE 150
BOISE, ID 83704-9064
Phone: (208) 377-1310 Fax: (208) 321-1952
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KENDALL JOHNSON
MANAGER
Phone: (208) 377-1310
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152WV0400X
- Optometrist / Vision Therapy (Primary)
152WS0006X
- Optometrist / Sports Vision

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.