P Praxis·MD
● Active Type 2 · Organization

Pediatric Vision Development Center Of Forsyth

Optometrist·Cumming, GA· NPI 1659789923 · Enumerated 2014 · 11 years on NPI
Pediatric Vision Development Center Of Forsyth is 1 of 18 optometrist organizations in Georgia.
NPI age
11 years
Enumerated 2014-07-30
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rouw
Owner
Last NPPES update
2014-07-30
Source: monthly bulk 2026-05

How this organization compares

Across 18 active optometrist providers in Georgia.

NPI age
11 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-07Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
2920 Ronald Reagan Blvd, Ste 104
Cumming, GA 300416206
📞 7709040979
Mailing address
3452 Lake Mill Rd
Buford, GA 305195349

Authorized official

Joseph Rouw, OD
Owner
📞 6784482854

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Amy Wallace, O.T. Occupational Therapist NPI 1376695627

Specialties

  • Optometrist Primary
    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...
    GA license #2353 taxonomy 152WV0400X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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