Organization Active NPI

Vascu Vision Inc

  • Clinic/Center
  • Wellington, FL
National Provider Identifier
1013003532
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC4566 Issued in FL
Legal business name
VASCU VISION INC
Doing business as
Advanced Imaging Specialists
Practice address
12794 W. Forest Hill Blvd.
Suite 30
Wellington, FL 33414-4710
Phone
(561) 795-6868
Fax
(561) 795-6869
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Marcia Elaine Roy, RT,RDMS,RVT,RDCS,CCT
Title
President
Phone
(561) 795-6868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC4566 FL Primary

Addresses

Primary practice location

12794 W. Forest Hill Blvd.
Suite 30
Wellington, FL 33414-4710

Mailing address

12794 W. Forest Hill Blvd.
Suite 30
Wellington, FL 33414-4710
Phone (561) 795-6868

Other names 1

  • Advanced Imaging Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040403000034 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4284627613 Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

12300 South Shore Blvd
Ste 212
Wellington, FL 33414
Phone (347) 224-0770

12794 Forest Hill Blvd
Ste 30
Wellington, FL 33414
Phone (561) 358-8043

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1013003532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12794 W. FOREST HILL BLVD.",
            "address_2": "SUITE 30",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144710",
            "telephone_number": "561-795-6868",
            "fax_number": "561-795-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12794 W. FOREST HILL BLVD.",
            "address_2": "SUITE 30",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144710",
            "telephone_number": "561-795-6868",
            "fax_number": "561-795-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCU VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-795-6868",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RT,RDMS,RVT,RDCS,CCT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC4566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Imaging Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.