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

Van Mai Mattison, OD

Individual provider Optometrist · NPI 1912492919

Van Mai Mattison, OD is an Optometry in Leesburg, Florida. Graduated from Southern California College of Optometry in 2018, 8 years ago. Practices with Coren Eye Group PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Trained at
Southern California College of Optometry
Licensed in
FL
In the registry since
2018
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

112 E Dixie Ave
Leesburg, FL 34748-6350
Phone: (352) 787-1956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC5557 (FL)

Record details

NPI number1912492919
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 22, 2018
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address112 E Dixie Ave, Leesburg, FL 34748-6350

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Coren Eye Group Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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