Van Mai Mattison, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5557 Issued in FL

Practice address

112 E Dixie Ave
Leesburg, FL 34748-6350

Phone

(352) 787-1956

NPI assigned

Jun 22, 2018

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Van Mai Vu Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coren Eye Group PLLCGroup PAC ID 6800156399, 2 clinicians

Aeg Florida Professional PLLCGroup PAC ID 3870960032, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Florida Professional PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1164156246
  Medicare reassignment Care Compare group NPD
• Coren Eye Group PLLC

  dba Eyecare Center of Leesburg

  • Optometrist
  • Leesburg, FL
  • NPI 1588182562
  Medicare reassignment Care Compare group NPD
• DRS Williams & Vihlen PA

  dba Eyecare Center of Leesburg

  • Eyewear Supplier
  • Leesburg, FL
  • NPI 1275600892

  Optometrist

  NPD

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1912492919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486350",
            "telephone_number": "321-754-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486350",
            "telephone_number": "352-787-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "VAN",
        "middle_name": "MAI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VAN",
            "last_name": "VU",
            "middle_name": "MAI",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George M Mathew, M.D.
• Jencymol Mathew, APRN, PMHNP
• Lourdes M Mathew, MD
• Melissa Matias
• Andriy Matiyash, D.O.
• Mackenzie Leigh Mauldin, APRN
• Jennifer Lauren Maurer, OTR/L
• Maxihealth Homecare Specialists LLC
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.

• Optometrist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.