Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Rapids Vision Therapy LLC

Organization Sports Vision Optometrist · NPI 1568932994

Grand Rapids Vision Therapy LLC is a Sports Vision Optometrist in Grand Rapids, Michigan. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3152 Peregrine Dr NE Ste C205
Grand Rapids, MI 49525-9723
Phone: (616) 447-1444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vision Therapy Optometrist (primary) Taxonomy 152WV0400X
Sports Vision Optometrist Taxonomy 152WS0006X

Record details

NPI number1568932994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Fortenbacher — Cfo · (616) 447-1444
Other names Wow Vision Therapy
NPI enumeratedNovember 28, 2018
Last updated in NPPESNovember 28, 2018
Mailing address3152 Peregrine Dr Ne Ste C205, Grand Rapids, MI 49525-9723