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
8921545369The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
FL
Enrollments
1
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20240803000143 FL Part B Supplier - Clinic/Group Practice 1194597690

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).

Sources for this page