Premier Visual Health, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME86805 Issued in FL

Legal business name

PREMIER VISUAL HEALTH, LLC

Practice address

810 N Rose Ave
Kissimmee, FL 34741-4944

Phone

(407) 352-4044

Fax

(407) 352-4043

NPI assigned

Jul 6, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Juana P Cetina

Title

Owner/President

Phone

(407) 352-4044

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1265797138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N ROSE AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414944",
            "telephone_number": "407-352-4044",
            "fax_number": "407-352-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N ROSE AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414944",
            "telephone_number": "407-352-4044",
            "fax_number": "407-352-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VISUAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "CETINA",
        "authorized_official_first_name": "JUANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "407-352-4044",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME86805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266163200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Pratts
• Claudia S Preciado Acosta
• Precision Transport LLC
• Preferred Injury Physicians of Kissimmee
• Premier Vision LLC
• Premise Health
• Premise Health of Florida Medical PA
• Premise Health of Florida Medical PA
• Premium Counseling Group, LLC
• Premium Med DME LLC

• Ophthalmology Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.