Organization
ADVANCED VISION INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAMA OMAR M.D. (MEDICAL DIRECTOR)
(407) 389-0800
Entity
Organization
Contact information
Practice address
220 N WESTMONTE DR STE F, ALTAMONTE SPRINGS, FL 32714-3360
(407) 389-0800
(407) 389-1880
Mailing address
220 N WESTMONTE DR STE F, ALTAMONTE SPRINGS, FL 32714-3360
(407) 389-0800
(407) 389-1880
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME79154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103863900
—
FL
01
—
58674
BCBS
FL
01
—
7779377
AETNA
FL
Enumeration date
10/12/2007
Last updated
04/05/2022
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