Pediatric Vision Development Center of Forsyth

NPI #1659789923 in Cumming, Georgia

Provider Information

NPI Number: 1659789923
Entity Type: Organization
Organization Name: Pediatric Vision Development Center of Forsyth
Primary Specialty: Optometrist - Vision Therapy
Enumeration Date: Jul 30, 2014
Last Updated: Jul 30, 2014

Practice Location

Address: 2920 RONALD REAGAN BLVD
Address 2: STE 104
City: Cumming
State: Georgia
ZIP Code: 30041-6206
Phone: (770) 904-0979

Authorized Official

Name: DR. JOSEPH ROUW, OD
Title: OWNER
Phone: (678) 448-2854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Vision Therapy — Vision Therapy	152WV0400X	Primary

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