Vision Source Maitland, LLC
NPI 1194597690ActiveOrganization· Optometrist· Maitland, FL
Optometrist in Maitland, Florida, registered in NPPES in October 2023. The authorized official on file is David N. Fisher, OD, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194597690 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2023 |
| Last updated in NPPES | Feb 18, 2025 |
| Certified by provider | Feb 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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