THE CENTER FOR VISION DEVELOPMENT, LLC
NPI 1629201991
Optometrist - Vision Therapy in Annapolis, MD

NPI Status: Active since September 02, 2009

Contact Information

509 S CHERRY GROVE AVE STE C
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 268-4393
Fax: (410) 268-5200

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  • Organization
  • Optometrist
  • Vision Therapy
  • CLIA Number: 21D2202094
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-23-2026

About THE CENTER FOR VISION DEVELOPMENT, LLC

This page provides the complete NPI Profile along with additional information for The Center For Vision Development, Llc, a provider established in Annapolis, Maryland operating as a Optometrist, focusing in vision therapy . The healthcare provider is registered in the NPI registry with number 1629201991 assigned on September 2009. The practitioner's primary taxonomy code is 152WV0400X with license number TA1673 (MD). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jennifer J Kungle O.d. (President)

NPI
1629201991
Provider Name
THE CENTER FOR VISION DEVELOPMENT, LLC
Entity Type
Organization
Location Address
509 S CHERRY GROVE AVE STE C ANNAPOLIS, MD 21401
Location Phone
(410) 268-4393
Location Fax
(410) 268-5200
Mailing Address
509 S CHERRY GROVE AVE STE C ANNAPOLIS, MD 21401
Mailing Phone
(410) 268-4393
Mailing Fax
(410) 268-5200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-02-2009
Last Update Date
03-03-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist Vision Therapy

Taxonomy Code
152WV0400X
Type
Eye and Vision Services Providers
License No.
TA1673
License State
MD
Taxonomy Description
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JENNIFER J KUNGLE O.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(301) 437-1266

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
U95698MEDICARE UPIN (02)MD 
617M102FMEDICARE PIN (08)MD 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2202094
Facility Type
Physician Office
Certificate Effective Date
November 24, 2024
Certificate Expiration Date
November 23, 2026
Laboratory Director
DR. J MICHAEL PARDO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to The Center For Vision Development, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629201991, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 4 + 0 + 2 + 9 + 1 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1629201991.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Primary Care)
509 S CHERRY GROVE AVE STE C
ANNAPOLIS, MD 21401
Internal Medicine
509 S CHERRY GROVE AVE STE C
ANNAPOLIS, MD 21401
Nurse Practitioner (Family)
509 S CHERRY GROVE AVE STE C
ANNAPOLIS, MD 21401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629201991, enumerated as an "organization" on September 02, 2009.

The provider is located at 509 S CHERRY GROVE AVE STE C ANNAPOLIS, MD 21401 and the phone number is (410) 268-4393.

Optometrist with taxonomy code 152WV0400X and a focus in Vision Therapy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.