VISION SOURCE MAITLAND, LLC
NPI 1891582714
Optometrist in Winter Springs, FL

Active since April 23, 2025
1305 TREE SWALLOW DR, WINTER SPRINGS, FL 32708(407) 971-1001(407) 971-1002 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vision Source Maitland, Llc NPPES

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

VISION SOURCE MAITLAND, LLC (NPI 1891582714) is a healthcare organization registered as an optometrist in Winter Springs, Florida and active in the NPI registry since April 2025. The organization lists David N Fisher, Ceo / President, as its authorized official.

NPPES Registry Identity

NPI1891582714
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVISION SOURCE MAITLAND, LLC
Location Address1305 TREE SWALLOW DRWinter Springs, FL 32708-6634
Mailing Address1305 Tree Swallow DrWinter Springs, FL 32708-6634 · (407) 971-1001 · Fax (407) 971-1002
Fax(407) 971-1002
Organization SubpartNo
Authorized OfficialDavid N FisherCeo / President · (407) 971-1001
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1891582714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
1305 TREE SWALLOW DR, Winter Springs, FL 32708

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Vision Source Maitland, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Optometry
NPI 1003963307
1783 E BROADWAY ST
Oviedo, FL 32765
(407) 971-1001
✔ PECOS✔ Accepts Medicare5.6 mi
Optometry
NPI 1598875809
1020 LOCKWOOD BLVD
Oviedo, FL 32765
(407) 971-1001
✔ PECOS✔ Accepts Medicare5.7 mi
Optometry
NPI 1750157418
105 E LAKE BRANTLEY DR
Longwood, FL 32779
(407) 869-4733
✔ PECOS✔ Accepts Medicare9.7 mi
Optometry
NPI 1073708806
8320 UNIVERSITY EXEC PARK DR SUITE 100
Charlotte, NC 28262
(704) 295-0123
✔ PECOS✔ Accepts Medicare456 mi
Optometry
NPI 1336750652
4901 CALHOUN RD
Houston, TX 77204
(713) 743-2020
✔ PECOS✔ Accepts Medicare853 mi

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 1891582714. It was assigned to this organization in the NPPES registry on April 23, 2025.

Where is Vision Source Maitland, LLC located?

Vision Source Maitland, LLC is located at 1305 Tree Swallow Dr, Winter Springs, FL 32708. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vision Source Maitland, LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.