Vision And Conceptual Development Center LLC
Optometrist, Vision Therapy in Chevy Chase, MD. Organization (NPI-2).
NPI number1477856474
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1477856474
- Entity type
- Organization (NPI-2)
- Legal business name
- Vision And Conceptual Development Center LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2010
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WV0400X | Optometrist, Vision Therapy | TA 1930 | MD | Yes |
| 152WP0200X | Optometrist, Pediatrics | TA 1930 | MD | |
| 152WS0006X | Optometrist, Sports Vision | – | – |
Practice location
6900 Wisconsin AveSuite 600
Chevy Chase, MD 20815-6114
Phone 301-951-0320 · Fax 301-951-0370
Mailing address
4608 S Chelsea LnBethesda, MD 20814-3718
Phone 301-654-4941
Authorized official
Amanda Rae Zeller Manley
Director
3019510320
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