Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Saint Joseph Vision Therapy LLC

Vision Therapy Optometrist in Saint Joseph, MI · enumerated 2019 · authorized official Charles Fortenbacher, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669937926

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Registry record

Entity type Organization (Type 2)

Legal business name Saint Joseph Vision Therapy LLC

Practice address 2908 Division St, Saint Joseph, MI, 49085

Phone (269) 983-3309

Fax (269) 983-0846

Enumeration date Jan 31, 2019

Last updated in NPPES Jan 31, 2019

Taxonomy & classification

152WS0006X Sports Vision Optometrist Eye and Vision Services Providers Secondary

152WV0400X Vision Therapy Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Charles Fortenbacher

Title Cfo

Phone (269) 449-1513

Other identifiers

Identifier	Type	State	Issuer
900A165280	Other	MI	BLUE CROSS BLUE SHIELD OF MICHIGAN
4901002693	Other	MI	OPTOMETRY LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Saint Joseph Vision Therapy LLC located?

The practice location on file with NPPES is in Saint Joseph, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-01-31. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Alicia Bultsma Optometrist · Saint Joseph, MI NPI 1992442792

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-31.