NPIMap

Organization Active NPI

Vanmor Vision PA

  • Optometrist
  • Orlando, FL
National Provider Identifier
1942540406
Registry record updated Sep 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4355 Issued in FL
Legal business name
VANMOR VISION PA
Practice address
4101 Hunters Park LN
Unit 400
Orlando, FL 32837-3618
Phone
(407) 855-6132
NPI assigned
Feb 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2020

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

Authorized official

Name
Dr. Vanessa Marie Morales McCann, ODNPI 1922255579
Title
Owner
Phone
(407) 855-6132

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4355 FL Primary

Addresses

Primary practice location

4101 Hunters Park LN
Unit 400
Orlando, FL 32837-3618

Mailing address

4101 Hunters Park LN
Unit 400
Orlando, FL 32837-3618
Phone (407) 855-6132

Other practice location 1

7004 Tavistock Lakes Blvd Ste 146
Orlando, FL 32827-7767
Phone (407) 855-6132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160129001698 FL Part B Supplier - Clinic/Group Practice 6709189467 Receives reassigned benefits from 10 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

4101 Hunters Park Ln
Ste 400
Orlando, FL 32837
Phone (407) 855-6132

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600473600000",
    "number": "1942540406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 HUNTERS PARK LN",
            "address_2": "UNIT 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328373618",
            "telephone_number": "407-855-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 HUNTERS PARK LN",
            "address_2": "UNIT 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328373618",
            "telephone_number": "407-855-6132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7004 Tavistock Lakes Blvd Ste 146",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277767",
            "country_code": "US",
            "telephone_number": "407-855-6132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANMOR VISION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "MARIE MORALES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-855-6132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; 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.