Provider Demographics
NPI:1154658953
Name:THE CENTER FOR VISION DEVELOPMENT
Entity Type:Organization
Organization Name:THE CENTER FOR VISION DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:615-791-5766
Mailing Address - Street 1:128 HOLIDAY CT
Mailing Address - Street 2:SUITE 126
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-3061
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:128 HOLIDAY CT
Practice Address - Street 2:SUITE 126
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-3061
Practice Address - Country:US
Practice Address - Phone:615-791-5766
Practice Address - Fax:615-791-5767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2792152W00000X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty