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NPI Code Detail

MEDICARE: VISION DEVELOPMENT CENTER, INC.

MEDICARE: VISION DEVELOPMENT CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152WV0400XVision Therapy OptometristOPC2192FL

General Provider Information

NPI Number : 1992953228
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISION DEVELOPMENT CENTER, INC.
Provider Business Mailing Address
First Line : 319 BELVEDERE RD
Second Line : SUITE 1
City : WEST PALM BEACH
State : FL
Zip : 33405-1252
Country : US
Telephone Number : 561-296-3865
Fax Number : 561-624-8924
Provider Business Practice Location Address
First Line : 319 BELVEDERE RD
Second Line : SUITE 1
City : WEST PALM BEACH
State : FL
Zip : 33405-1252
Country : US
Telephone Number : 561-296-3865
Fax Number : 561-624-8924
Authorized Official
Title or Position : PRESIDENT
Name : DR. REGINA LOUISE MANES
Credential : O.D., M.S.
Telephone Number : 561-296-3865
Provider Enumeration Date : 08/28/2008
Last Update Date : 05/09/2015

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Directions to “VISION DEVELOPMENT CENTER, INC. ” Practice Location

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