Vision Source Maitland, LLC

Optometrist · Maitland, FL

Organization Active NPI

NPI number 1194597690

Practice location

238 S Orlando Ave
Maitland, FL 32751
Phone
(407) 971-1001
Fax
(407) 971-1002

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NPI record

NPI
1194597690
Entity type
Organization (Type 2)
Enumeration date
October 27, 2023
Last updated
February 18, 2025
Certified
February 18, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — —

Mailing address

238 S Orlando Ave
Maitland, FL 32751-5604
Phone
(407) 971-1001
Fax
(407) 971-1002

Authorized official

Name
David N Fisher, OD
Title
Managing Member
Phone
(407) 462-3738

Other names

  • Vision Source

Other practice locations (1)

  • 1020 Lockwood Blvd, Oviedo, FL 32765-6027 · (407) 971-1001

About Vision Source Maitland, LLC

Vision Source Maitland, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 238 S Orlando Ave, Maitland, FL 32751. The NPI number 1194597690 was assigned on October 27, 2023 and the record was last updated on February 18, 2025.

The authorized official for this organization is David N Fisher, OD, Managing Member.

Frequently asked questions

What is the NPI number of Vision Source Maitland, LLC?

The NPI number is 1194597690.

What is the phone number of Vision Source Maitland, LLC?

The phone number listed for the practice location is (407) 971-1001.

Where is Vision Source Maitland, LLC located?

238 S Orlando Ave, Maitland, FL 32751.

What is the taxonomy code for Vision Source Maitland, LLC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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