| Low Vision Rehab Solutions, Llc | |
|
5109 Influence Way Raleigh NC 27616-4345 | |
| (919) 239-4805 | |
| Not Available |
| Full Name | Low Vision Rehab Solutions, Llc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 5109 Influence Way, Raleigh, North Carolina |
| Authorized Official Name and Position | Morgan Lewis (COO) |
| Authorized Official Contact | 4438230720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Low Vision Rehab Solutions, Llc Po Box 61062 Raleigh NC 27661-1062 Ph: (919) 239-4805 | Low Vision Rehab Solutions, Llc 5109 Influence Way Raleigh NC 27616-4345 Ph: (919) 239-4805 |
| NPI Number | 1205508363 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 03/18/2025 |
| Certification Date | 03/18/2025 |
| Medicare PECOS PAC ID | 5496144271 |
|---|---|
| Medicare Enrollment ID | O20211117000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205508363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Renee R Mitchell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952319337 PECOS PAC ID: 9931122140 Enrollment ID: I20060112001052 |
| Provider Name | Fay J Tripp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437430493 PECOS PAC ID: 5092938464 Enrollment ID: I20140604000070 |
| Provider Name | Cynthia Bell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265857197 PECOS PAC ID: 7618191263 Enrollment ID: I20140620002228 |
| Provider Name | Robert W Henderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194194621 PECOS PAC ID: 9436459591 Enrollment ID: I20151123001207 |
| Provider Name | Mohammed O Mohiuddin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063925352 PECOS PAC ID: 0244590131 Enrollment ID: I20180214002775 |
| Provider Name | Morgan Lewis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104328715 PECOS PAC ID: 6709148224 Enrollment ID: I20180321002779 |
| Provider Name | Shelia Kirkman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164902680 PECOS PAC ID: 7719230697 Enrollment ID: I20181023000278 |
| Provider Name | Tiffany N Buckingham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346804887 PECOS PAC ID: 8325376577 Enrollment ID: I20190826002139 |
| Provider Name | Meredith Miller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114531092 PECOS PAC ID: 8527487933 Enrollment ID: I20201005002122 |
| Provider Name | Hannah Rodman Sykes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497417059 PECOS PAC ID: 3173914082 Enrollment ID: I20220104002340 |
| Provider Name | Suzanne Wannamaker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760860043 PECOS PAC ID: 2062808611 Enrollment ID: I20220406002960 |
| Provider Name | Michael Loeffler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861112948 PECOS PAC ID: 5193191278 Enrollment ID: I20221013003460 |
| Provider Name | Anna C Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700118015 PECOS PAC ID: 4385015684 Enrollment ID: I20230125000040 |
| Provider Name | Dominic S Foster |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477258937 PECOS PAC ID: 3274999172 Enrollment ID: I20230518003591 |
| Provider Name | Dayse Sousa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730658121 PECOS PAC ID: 8921444613 Enrollment ID: I20240318000050 |
| Provider Name | Jasmine N Campbell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295563740 PECOS PAC ID: 4789122060 Enrollment ID: I20240818000022 |
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