Vision Source Maitland, LLC
A Medicare group practice based in Maitland, FL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8921545369), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8921545369
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20240803000143 | FL | Part B Supplier - Clinic/Group Practice | 1194597690 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Vision Source Maitland, LLC
- Optometrist
- Winter Springs, FL
- NPI 1891582714
Practice locations
- Winter Springs, FL1
- Oviedo, FL1
- Maitland, FL1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).
-
David N Fisher, O.D.
- Optometrist
- Oviedo, FL
- NPI 1598875809
-
Holly Rebecca Fisher, O.D.
- Optometrist
- Oviedo, FL
- NPI 1003963307
-
Kate Lanier, O.D.
- Optometrist
- Charlotte, NC
- NPI 1073708806
-
Sallekh Shakya
- Optometrist
- Houston, TX
- NPI 1336750652
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.