An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement ? which may include vision therapy and techniques to improve visual skills specific to the athlete?s sport.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Sports Vision | 152WS0006X |
| Corneal and Contact Management | 152WC0802X | |
| Optometrist | 152W00000X | |
| Pediatrics | 152WP0200X |
* Indicates primary specialty
| NPI Number | 1700960291 |
| Credentials | OD (Doctor of Optometry) |
| Entity | Individual |
| Enumeration date | 10/24/2006 |
| Last updated | 09/11/2025 - About 9 months ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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