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FAMILY VISION SERVICES, P.A.
NPI 1124234612
Optometrist in Lake Wales, FL

Active since May 14, 2007
301 EAGLE RIDGE DR, LAKE WALES, FL 33859(863) 679-2068 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Family Vision Services, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY VISION SERVICES, P.A. (NPI 1124234612) is a healthcare organization registered as an optometrist in Lake Wales, Florida and active in the NPI registry since May 2007. The organization lists Iris Matsukado, President, as its authorized official.

NPPES Registry Identity

NPI1124234612
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameFAMILY VISION SERVICES, P.A.
Location Address301 EAGLE RIDGE DRLake Wales, FL 33859-4751
Mailing Address12718 Bramfield DrRiverview, FL 33569-7776
Phone(863) 679-2068
Organization SubpartNo
Authorized OfficialIris MatsukadoPresident · (813) 340-1025
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124234612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OP0482
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
301 EAGLE RIDGE DR, Lake Wales, FL 33859
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Other Identifiers 1

OtherOP0482FL · Eyemed

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY BERDAHL
Hearing Instrument Specialist
301 EAGLE RIDGE DR
LAKE WALES, FL 33859
Polk County (863) 679-2066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Vision Services, P.A.'s NPI number?

The NPI number for Family Vision Services, P.A. is 1124234612. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Family Vision Services, P.A. located?

Family Vision Services, P.A. is located at 301 Eagle Ridge Dr, Lake Wales, FL 33859. The listed phone number is (863) 679-2068.

What is Family Vision Services, P.A.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Family Vision Services, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.