Organization Active NPI

Visual Health and Surgical Center Inc

  • Ophthalmology Physician
  • Palm Springs, FL
National Provider Identifier
1932146545
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VISUAL HEALTH AND SURGICAL CENTER INC
Practice address
2889 10TH Ave N Ste 306
Palm Springs, FL 33461-3045
Phone
(561) 964-0707
Fax
(239) 985-7118
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Abigail Waller
Title
Ceo
Phone
(561) 964-0707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2889 10TH Ave N Ste 306
Palm Springs, FL 33461-3045

Mailing address

2889 10TH Ave N Ste 306
Palm Springs, FL 33461-3045
Phone (561) 964-0707

Other identifiers 2

IdentifierTypeStateIssuer
PU817OtherFLPTAN
97847OtherFLPTAN

Other names 1

  • Wellington Wellness Institute, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040213000047 FL Part B Supplier - Clinic/Group Practice 8921992512 Receives reassigned benefits from 9 practitioners
Practice locations: Palm Springs, FL

National Provider Directory

National Provider Directory

Locations

2889 10th Ave N
Ste 305
Palm Springs, FL 33461
Phone (561) 227-3117

2889 10th Ave N
Ste 306
Palm Springs, FL 33461
Phone (561) 227-3101

2889 10th Ave N
#5338
Palm Springs, FL 33461

911 E Atlantic Blvd
Ste 1
Pompano Beach, FL 33060
Phone (954) 941-1555

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 10

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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1932146545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 10TH AVE N STE 306",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613045",
            "telephone_number": "561-964-0707",
            "fax_number": "561-467-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 10TH AVE N STE 306",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613045",
            "telephone_number": "561-964-0707",
            "fax_number": "239-985-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL HEALTH AND SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-09-02",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-964-0707"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "PU817",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "97847",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellington Wellness Institute, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.