Delaware Vision Academy Llc

LBN: Delaware Vision Academy Llc
Delaware Vision Academy Llc is an health care organization with primary practice located at 3105 Limestone Rd Suite 102, Wilmington DE 19808-2147. The organization recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Vision Therapy is the primary health care specialty. Delaware Vision Academy Llc can be contacted via phone (302) 998-1395, or through Blackburn, Don David via phone (302) 998-1395.

Contact Information

Primary practice address
3105 Limestone Rd Suite 102 Wilmington DE 19808-2147
Fax: (302) 998-6784
Website:
Authorized official contact:
Name: Blackburn, Don David Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X I3-0001218 Delaware
Eye and Vision Services Providers / Pediatrics 152WP0200X I3-0001218 Delaware
Eye and Vision Services Providers / Sports Vision 152WS0006X I3-0001218 Delaware
Eye and Vision Services Providers / Vision Therapy 152WV0400X I3-0001218 Delaware
Eye and Vision Services Providers / Optician 156FX1800X I3-0001218 Delaware

Profile Details

NPI number 1518092659
LBN Legal business name Delaware Vision Academy Llc
DBA Doing business as
Authorized official Blackburn, Don David Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Feb 27th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518092659 NPPES
Delaware Other 258125 COVENTRY

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