Provider Demographics
NPI:1003237082
Name:VISION THERAPY CENTER
Entity type:Organization
Organization Name:VISION THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE BILLER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-846-0620
Mailing Address - Street 1:395 S SHORE DR
Mailing Address - Street 2:SUITE #101
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-5466
Mailing Address - Country:US
Mailing Address - Phone:269-963-3600
Mailing Address - Fax:269-963-3495
Practice Address - Street 1:395 S SHORE DR
Practice Address - Street 2:SUITE #101
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-5466
Practice Address - Country:US
Practice Address - Phone:269-963-3600
Practice Address - Fax:269-963-3495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002642152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty