Wow Vision Therapy
LBN: World Wide Vision Therapy Centers, L.L.C.
Wow Vision Therapy is an health care organization with primary practice located at 3152 Peregrine Dr Ne Suite C205, Grand Rapids MI 49525-9723. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is the primary health care specialty.
World Wide Vision Therapy Centers, L.L.C. can be contacted via phone (616) 447-1444, or through Fortenbacher, Dan L via phone (269) 983-3309.
Contact Information
Primary practice address
3152 Peregrine Dr Ne Suite C205
Grand Rapids MI 49525-9723
Phone: (616) 447-1444
Fax: (616) 447-1445
Website:
Authorized official contact:
Name: Fortenbacher, Dan L Doctor of Optometry (OD)
Phone: (269) 983-3309
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002693 | Michigan |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 4901002693 | Michigan |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 4901002693 | Michigan |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 4901004791 | Michigan |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 4901004454 | Michigan |
Profile Details
| NPI number | 1801275193 |
|---|---|
| LBN Legal business name | World Wide Vision Therapy Centers, L.L.C. |
| DBA Doing business as | Wow Vision Therapy |
| Authorized official | Fortenbacher, Dan L Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2015 |
| Last updated | May 21st, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801275193 | NPPES |
| Michigan | Other | 900A165280 | BLUE CROSS BLUE SHIELD OF MICHIGAN |
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