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NPI Code Detail

MEDICARE: VISUAL HEALTH AND SURGICAL CENTER INC

MEDICARE: VISUAL HEALTH AND SURGICAL CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist
2207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PU817OTHERFLPTAN
297847OTHERFLPTAN

General Provider Information

NPI Number : 1932146545
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISUAL HEALTH AND SURGICAL CENTER INC
Provider Business Mailing Address
First Line : 2889 10TH AVE N STE 306
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-3045
Country : US
Telephone Number : 561-964-0707
Fax Number : 561-467-4175
Provider Business Practice Location Address
First Line : 2889 10TH AVE N STE 306
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-3045
Country : US
Telephone Number : 561-964-0707
Fax Number : 239-985-7118
Authorized Official
Title or Position : CEO
Name : ABIGAIL WALLER
Credential :
Telephone Number : 561-964-0707
Provider Enumeration Date : 06/01/2006
Last Update Date : 09/02/2025

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Directions to “VISUAL HEALTH AND SURGICAL CENTER INC ” Practice Location

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