| Organization Name: | VISION DEVELOPMENT CENTER OF MULLICA HILL NEW JERSEY |
| NPI Number: | 1386952885 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAMARA KOSTICK (MANAGER) |
| Mailing Address: | 10 Baker Blvd Mullica Hill |
| State: | NJ US |
| Postal Code: | 080621504 |
| Phone Number: | 8562231626 |
| Fax Number: | 8562231626 |
| NPI Enumeration Date: | 09/17/2010 |
| NPI Last Update Date: | 09/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WV0400X |
| License Number: | TO00525 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Vision Therapy |
| Taxonomy 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. |