Provider Demographics
NPI:1851786214
Name:VISION DEVELOPMENT AND REHABILITATION CONSULTANTS LLC
Entity Type:Organization
Organization Name:VISION DEVELOPMENT AND REHABILITATION CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-412-0311
Mailing Address - Street 1:360 S WAUKEGAN RD
Mailing Address - Street 2:SUITE A2
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-5653
Mailing Address - Country:US
Mailing Address - Phone:847-412-0311
Mailing Address - Fax:
Practice Address - Street 1:360 S WAUKEGAN RD
Practice Address - Street 2:SUITE A2
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5653
Practice Address - Country:US
Practice Address - Phone:847-412-0311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty