PEDIATRIC VISION DEVELOPMENT CENTER OF GWINNETT
NPI 1669880936
Optometrist - Vision Therapy in Dacula, GA

Active since July 30, 2014
2055 HAMILTON CREEK PKWY, STE 120, DACULA, GA 30019(770) 904-0979 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Vision Development Center Of Gwinnett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC VISION DEVELOPMENT CENTER OF GWINNETT (NPI 1669880936) is a healthcare organization registered as a vision therapy in Dacula, Georgia and active in the NPI registry since July 2014. The organization lists Joseph Rouw, Owner, as its authorized official.

NPPES Registry Identity

NPI1669880936
Entity TypeOrganization
Primary Taxonomy152WV0400X
Legal Business NamePEDIATRIC VISION DEVELOPMENT CENTER OF GWINNETT
Location Address2055 HAMILTON CREEK PKWY, STE 120Dacula, GA 30019-7204
Mailing Address2055 Hamilton Creek Pkwy, Ste 120Dacula, GA 30019-7204 · (770) 904-0979
Organization SubpartNo
Authorized OfficialJoseph RouwOwner · (678) 448-2854
Enumeration DateJuly 30, 2014
Last NPPES UpdateAugust 22, 2016
NPI 1669880936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License Licensed in GA · 2355
Definition
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.
2055 HAMILTON CREEK PKWY, Dacula, GA 30019

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Vision Development Center Of Gwinnett's NPI number?

The NPI number for Pediatric Vision Development Center Of Gwinnett is 1669880936. It was assigned to this organization in the NPPES registry on July 30, 2014.

Where is Pediatric Vision Development Center Of Gwinnett located?

Pediatric Vision Development Center Of Gwinnett is located at 2055 Hamilton Creek Pkwy Ste 120, Dacula, GA 30019. The listed phone number is (770) 904-0979.

What is Pediatric Vision Development Center Of Gwinnett's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

When was this NPI record last updated?

The NPPES record for Pediatric Vision Development Center Of Gwinnett was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.