Healthcare Provider Details

I. General information

NPI: 1558657619
Provider Name (Legal Business Name): VOLD VISION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 S DILLARD ST STE 118
WINTER GARDEN FL
34787-3991
US

IV. Provider business mailing address

16619 AREZO CT
BELLA COLLINA FL
34756-3612
US

V. Phone/Fax

Practice location:
  • Phone: 407-309-2788
  • Fax: 407-255-1757
Mailing address:
  • Phone: 407-309-2788
  • Fax: 407-255-1757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN D VOLD
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 407-309-2788