OrganizationActive
Radiant Vision Eyecare
NPI 1568170827 · Optometrist · Port Orange, FL
Radiant Vision Eyecare is a Optometrist organization in Port Orange, FL (NPI 1568170827).
Provider details
- NPI number
- 1568170827
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Marissa Nicotra, Owner(386) 200-4501
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5517 S Williamson Blvd Ste 310
Port Orange, FL 32128-8310
Phone: (386) 200-4501
Street-level locationGet directions
Mailing address
1500 Beville Rd
Daytona Beach, FL 32114
Registry dates
- Enumerated
- 2022-11-07
- Last updated
- 2022-11-07
- Certified
- 2022-11-07
Frequently asked questions
- What is Radiant Vision Eyecare's NPI number?
- Radiant Vision Eyecare's National Provider Identifier (NPI) is 1568170827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiant Vision Eyecare?
- Radiant Vision Eyecare is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Radiant Vision Eyecare located?
- Radiant Vision Eyecare's practice location on file with NPPES is 5517 S Williamson Blvd Ste 310, Port Orange, FL 32128-8310.
- What is Radiant Vision Eyecare's phone number?
- The practice phone number listed in the NPPES registry for Radiant Vision Eyecare is (386) 200-4501.
- Who is the authorized official for Radiant Vision Eyecare?
- The authorized official listed on Radiant Vision Eyecare's NPPES record is Marissa Nicotra, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiant Vision Eyecare's NPI active?
- Yes — Radiant Vision Eyecare's NPI (1568170827) is active in the NPPES registry as of the last update on 2022-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.