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Organization
VISION SOURCE MAITLAND, LLC
Active
Organization
VISION SOURCE MAITLAND, LLC
Active
Other names
Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID N FISHER OD (MANAGING MEMBER)
(407) 462-3738
Entity
Organization
Contact information
Practice address
238 S ORLANDO AVE, MAITLAND, FL 32751
(407) 971-1001
(407) 971-1002
Mailing address
238 S ORLANDO AVE, MAITLAND, FL 32751-5604
(407) 971-1001
(407) 971-1002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
02/18/2025
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