NPIMap

Organization Active NPI

Vision Source Maitland, LLC

Doing business as Vision Source

  • Medical Specialty Clinic/Center
  • Oviedo, FL
National Provider Identifier
1154124642
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
VISION SOURCE MAITLAND, LLC
Doing business as
Vision Source
Practice address
1020 Lockwood Blvd
Oviedo, FL 32765-6027
Phone
(407) 971-1001
Fax
(407) 971-1002
NPI assigned
Mar 31, 2025
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
VISION SOURCE MAITLAND, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
David N Fisher, ODNPI 1598875809
Title
President / Ceo
Phone
(407) 971-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1020 Lockwood Blvd
Oviedo, FL 32765-6027

Mailing address

1305 Tree Swallow Dr
Winter Springs, FL 32708-6634
Phone (407) 971-1001

Other practice location 1

238 S Orlando Ave
Maitland, FL 32751-5604
Phone (407) 971-1001

Other practice location 2

1305 Tree Swallow Dr
Winter Springs, FL 32708-6634
Phone (407) 971-1001

Other names 1

  • Vision Source Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vision Source Maitland LLC4 organizations share this tax ID, including this one
Part of
Vision Source Maitland LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1305 Tree Swallow Dr
Winter Springs, FL 32708
Phone (407) 971-1001

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1154124642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 TREE SWALLOW DR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086634",
            "telephone_number": "407-971-1001",
            "fax_number": "407-971-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LOCKWOOD BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656027",
            "telephone_number": "407-971-1001",
            "fax_number": "407-971-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 S Orlando Ave",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327515604",
            "country_code": "US",
            "telephone_number": "407-971-1001",
            "fax_number": "407-971-1002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Tree Swallow Dr",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327086634",
            "country_code": "US",
            "telephone_number": "407-971-1001",
            "fax_number": "407-971-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISION SOURCE MAITLAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISION SOURCE MAITLAND,  LLC",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "407-971-1001",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.