NPIMap

Organization Active NPI

Vitreo 3 Investment Group LLC

  • Ophthalmology Physician
  • Orlando, FL
National Provider Identifier
1093522260
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VITREO 3 INVESTMENT GROUP LLC
Practice address
8001 S Orange Blossom TRL Unit 1560
Orlando, FL 32809-7654
Phone
(321) 443-9616
NPI assigned
Dec 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Ambar Rodriguez
Title
Manager
Phone
(321) 443-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

8001 S Orange Blossom TRL Unit 1560
Orlando, FL 32809-7654

Mailing address

2699 Sunkissed Dr
Saint Cloud, FL 34771-8489

Other names 1

  • OPTIMISTIC Doing business as

National Provider Directory

National Provider Directory

Locations

8001 S Orange Blossom Trl
Unit 1560
Orlando, FL 32809
Phone (321) 443-9616

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1093522260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 SUNKISSED DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347718489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 S ORANGE BLOSSOM TRL UNIT 1560",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097654",
            "telephone_number": "321-443-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITREO 3 INVESTMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "AMBAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-443-9616"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTIMISTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.