Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Family Vision Services, PA

Organization Optometrist · NPI 1124234612

Family Vision Services, PA is an Optometrist in Lake Wales, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

301 Eagle Ridge Dr
Lake Wales, FL 33859-4751
Phone: (863) 679-2068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OP0482 (FL)

Record details

NPI number1124234612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iris Matsukado — President · (813) 340-1025
NPI enumeratedMay 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12718 Bramfield Dr, Riverview, FL 33569-7776

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