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Active NPI 1487880100 Organization (Entity Type 2)

Visual Experiences

Optometrist - Vision Therapy • Dayton, OH

About Visual Experiences NPI 1487880100 Summary

Visual Experiences is a verified healthcare organization specializing in Optometrist - Vision Therapy operating in Dayton, OH. Located at 4244 INDIAN RIPPLE RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1487880100.

Administrative operations and authorized compliance are overseen by Brenda Montecalvo (Partner).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

4244 Indian Ripple Rd

Dayton, OH 454403279

Telephone 9373200400
Fax 9373200500

Authorized Official Information

Authorized Contact Name

DR. Brenda Montecalvo , OD

Title / Role

Partner

Official Telephone

9373200400

Facility Classifications & Specialties

Optometrist - Vision Therapy Primary Taxonomy

NUCC Taxonomy Code: 152WV0400X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked

Nurse Practitioner

Dayton, OH

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active June 09, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 09, 2009

Registered at 4244 INDIAN RIPPLE RD, DAYTON, OH 454403279 (Tel: 9373200400)

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Updated Business Mailing Address June 09, 2009

Registered at 4244 INDIAN RIPPLE RD, DAYTON, OH 454403279 (Tel: 9373200400)

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Organization / Clinic Name Updated June 09, 2009

Operating as VISUAL EXPERIENCES

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2009

Optometrist (License #4167 in OH)

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Initial NPI Registration & Enumeration June 09, 2009

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1487880100
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 09, 2009
Last Update: June 09, 2009

Mailing Address

4244 Indian Ripple Rd

Dayton, OH 454403279

Phone: 9373200400

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.