Michael L Haynes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP1839 Issued in FL

Practice address

1900 Mason Ave
Suite 100
Daytona Beach, FL 32117-5103

Phone

(386) 274-5525

Fax

(386) 274-5585

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision One IncGroup PAC ID 9830197623, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vision One Inc

  • Optometrist
  • Daytona Beach, FL
  • NPI 1457308322
  Medicare reassignment Care Compare group NPD Authorized official
• Central Florida Cataract and Laser Surgery Center, Inc.

  • Ophthalmologic Surgery Clinic/Center
  • Deland, FL
  • NPI 1508063884
  NPD Authorized official
• Vision One Inc

  • Optometrist
  • Deland, FL
  • NPI 1316023138
  NPD (past) Authorized official
• Vision One Inc

  • Optometrist
  • Port Orange, FL
  • NPI 1467538272
  NPD (past) Authorized official
• Vision One Inc

  • Optometrist
  • Daytona Beach, FL
  • NPI 1952314346
  NPD (past) Authorized official
• Visionone

  • Optometrist
  • Ormond Beach, FL
  • NPI 1447320114
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1194721001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MASON AVE",
            "address_2": "SUITE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175103",
            "telephone_number": "386-274-5525",
            "fax_number": "386-274-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MASON AVE",
            "address_2": "SUITE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175103",
            "telephone_number": "386-274-5525",
            "fax_number": "386-274-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP1839",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC1839",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078920801",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21851",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyra Hayes
• Deana Suzanne Woodruff Haynes, LCSW
• Delicia M Haynes, MD
• Ericka B Haynes
• Jalene Haynes, O.D.
• Jasmine Hays
• Brittany Hayward
• Janice Dianne Hayward
• Health Boulevard Surgical Center
• Health Care Services Pool, LLC (Pro Serv)

• Optometrist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.