MEDICARE: VISION ONE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist		FL

General Provider Information

NPI Number	:	1952314346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION ONE INC

Provider Business Mailing Address
First Line	:	1900 MASON AVE STE 100
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5103
Country	:	US
Telephone Number	:	386-274-5525
Fax Number	:	386-274-5585

Provider Business Practice Location Address
First Line	:	1900 MASON AVE STE 100
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5103
Country	:	US
Telephone Number	:	386-274-5525
Fax Number	:	386-274-5585

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL L HAYNES
Credential	:	O.D.
Telephone Number	:	386-274-5525

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	11/07/2007

Similar Medicare Providers

1194721001 — MICHAEL L HAYNES O.D.
Practice Location Address:

1900 MASON AVE , SUITE 100
DAYTONA BEACH, FL
32117-5103

Practice Phone: 386-274-5525
Practice Fax: 386-274-5585

1174515654 — FLORIDA DEPARTMENT OF VETERANS AFFAIRS
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Practice Location Address:

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1457308322 — VISION ONE INC
Practice Location Address:

1900 MASON AVE STE 100
DAYTONA BEACH, FL
32117-5103

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1083717789 — DR. RHOMELL CARRASCO CALARA PHARM D
Practice Location Address:

1920 MASON AVE
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1326265232 — DR. JAMES ROBERT WEAVER JR. O.D.
Practice Location Address:

1900 MASON AVE , SUITE 100
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Directions to “VISION ONE INC ” Practice Location

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