Active NPI
Vascu Vision Inc
- Clinic/Center
- Wellington, FL
National Provider Identifier
1013003532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- HCC4566
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040403000034 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4284627613 | Practice locations: Sarasota, FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Cape Coral, FL
- NPI 1801061890
-
- Nuclear Radiology Physician
- Bradenton, FL
- NPI 1942244439
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1982685343
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.