VISION SOURCE MAITLAND, LLC
NPI 1194597690
Optometrist in Maitland, FL
About Vision Source Maitland, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISION SOURCE MAITLAND, LLC (NPI 1194597690), doing business as Vision Source, is a healthcare organization registered as an optometrist in Maitland, Florida and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Oviedo and lists David N Fisher, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vision Source Maitland, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Vision Source Maitland, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Charlotte, NC 28262
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Vision Source Maitland, LLC's NPI number?
The NPI number for Vision Source Maitland, LLC is 1194597690. It was assigned to this organization in the NPPES registry on October 27, 2023. The provider is doing business as Vision Source.
Where is Vision Source Maitland, LLC located?
Vision Source Maitland, LLC is located at 238 S Orlando Ave, Maitland, FL 32751. The listed phone number is (407) 971-1001.
What is Vision Source Maitland, LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Vision Source Maitland, LLC enrolled in Medicare?
Yes. Vision Source Maitland, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vision Source Maitland, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Vision Source Maitland, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Vision Source Maitland, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Vision Source Maitland, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Vision Source Maitland, LLC was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Vision Source Maitland, Llc · NPI 1194597690
Optometrist organization in Maitland, Florida. Organization record, active in the CMS NPPES registry since October 27, 2023.
## Identity
- **NPI:** 1194597690 (Entity type: Organization)
- **Enumerated:** October 27, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Vision Source (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** David Fisher, MANAGING MEMBER
## Practice location
- **Address:** 238 S ORLANDO AVE, Maitland, FL 32751
- **Phone:** (407) 971-1001 · **Fax:** (407) 971-1002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194597690) · Data from the CMS NPPES public registry.