Healthcare Provider Details

I. General information

NPI: 1871430710
Provider Name (Legal Business Name): VISION AND MISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8455 N WICKHAM RD
MELBOURNE FL
32940-6607
US

IV. Provider business mailing address

177 EASTON CIR
OVIEDO FL
32765-8479
US

V. Phone/Fax

Practice location:
  • Phone: 909-936-4251
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MONICA MIKHAIL
Title or Position: OPTOMETRIST
Credential: OD
Phone: 909-936-4251