Visionary Eye Care of Central Florida, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

VISIONARY EYE CARE OF CENTRAL FLORIDA, INC.

Practice address

175 E Altamonte Dr Ste 1020
Altamonte Springs, FL 32701-4346

Phone

(561) 275-2020

NPI assigned

Dec 28, 2020

Last updated

Feb 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Supervisor

Phone

(561) 433-6009

Specialties & licenses 1

Addresses

Tax ID family

Visionary Eye Care of Central Florida Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Visionary Eye Care of Central Florida, Inc

  • Optometrist
  • Wildwood, FL
  • NPI 1245828102
  NPD tax ID

Locations

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1689261463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3776 COUNTY ROAD 507",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347858313",
            "telephone_number": "561-275-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E ALTAMONTE DR STE 1020",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014346",
            "telephone_number": "561-275-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY EYE CARE OF CENTRAL FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "561-433-6009"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vital Physicians PLLC
• Vitalitysync Solutions Mso, LLC
• VMD Primary Providers Central Florida PLLC

• Eyewear Supplier in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.