Provider Demographics
NPI:1043561350
Name:VISUAL HEALTH & LEARNING CENTER
Entity type:Organization
Organization Name:VISUAL HEALTH & LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDERMED
Authorized Official - Suffix:
Authorized Official - Credentials:OS
Authorized Official - Phone:407-277-5729
Mailing Address - Street 1:12301 LAKE UNDERHILL RD
Mailing Address - Street 2:SUITE 236
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-4508
Mailing Address - Country:US
Mailing Address - Phone:407-277-5729
Mailing Address - Fax:
Practice Address - Street 1:12301 LAKE UNDERHILL RD
Practice Address - Street 2:SUITE 236
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-4508
Practice Address - Country:US
Practice Address - Phone:407-277-5729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4185152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty