# PREMIER VISUAL HEALTH, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265797138
- **Authorized official:** MS. JUANA P CETINA (OWNER/PRESIDENT)
- **Authorized official phone:** (407) 352-4044

## Contact information

- **Practice address:** 810 N ROSE AVE, KISSIMMEE, FL 34741-4944
- **Practice address phone:** (407) 352-4044
- **Practice address fax:** (407) 352-4043
- **Mailing address:** 810 N ROSE AVE, KISSIMMEE, FL 34741-4944
- **Mailing address phone:** (407) 352-4044
- **Mailing address fax:** (407) 352-4043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME86805 | FL | Yes |

## Other

- **Enumeration date:** 07/06/2012
- **Last updated:** 11/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 266163200 | — | FL |