| Vision Source Oviedo, Inc | |
|
1020 Lockwood Blvd, Oviedo, FL 32765-6027 | |
| (407) 971-1001 | |
| (407) 971-1002 |
| Full Name | Vision Source Oviedo, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1020 Lockwood Blvd, Oviedo, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033283288 | NPI | - | NPPES |
| 621240900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC003166 (Florida) | Primary |
| Provider Name | Holly Rebecca Fisher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003963307 PECOS PAC ID: 5991736043 Enrollment ID: I20050830000339 |
| Provider Name | David N Fisher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598875809 PECOS PAC ID: 7719918861 Enrollment ID: I20050906000390 |
| Provider Name | Charles R Descheneaux |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154319366 PECOS PAC ID: 4284654112 Enrollment ID: I20080506000655 |
| Provider Name | Anh Vuong Do |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124361050 PECOS PAC ID: 2264656743 Enrollment ID: I20140624002457 |
| Provider Name | Kate T Lanier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073708806 PECOS PAC ID: 0345315354 Enrollment ID: I20171031003006 |
| Provider Name | Andrew R Gisel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144845934 PECOS PAC ID: 3577982610 Enrollment ID: I20200923001660 |
| Provider Name | Sallekh Shakya |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336750652 PECOS PAC ID: 9537585971 Enrollment ID: I20220307002381 |
| Provider Name | Nadia Afkhami |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871222919 PECOS PAC ID: 1254713779 Enrollment ID: I20220801000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source Oviedo, Inc 1020 Lockwood Blvd, Oviedo, FL 32765-6027 Ph: (407) 971-1001 | Vision Source Oviedo, Inc 1020 Lockwood Blvd, Oviedo, FL 32765-6027 Ph: (407) 971-1001 |
Holly Rebecca Fisher, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1783 E Broadway St, Oviedo, FL 32765 Phone: 407-971-1001 Fax: 407-971-1002 | |
Descheneaux Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2984 Alafaya Trl, #1030, Oviedo, FL 32765 Phone: 407-365-4040 | |
Andrew Gisel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1020 Lockwood Blvd, Oviedo, FL 32765 Phone: 407-971-1001 | |
Dr. Charles R Descheneaux, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2984 Alafaya Trl, #1030, Oviedo, FL 32765 Phone: 407-365-4040 Fax: 407-365-9800 | |
Mr. La Rue Inman Collins, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 171 S Central Ave, Oviedo, FL 32765 Phone: 407-365-7475 Fax: 407-365-6919 | |
Dr. Gary Dallas Mcdonald, OD Optometrist Medicare: Medicare Enrolled Practice Location: 875 Clark Street, Suite A, Oviedo, FL 32765 Phone: 407-366-7655 Fax: 407-366-4129 |