Organization Active NPI

Vision One Deland, LLC

  • Ophthalmology Physician
  • Deland, FL
National Provider Identifier
1255803979
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VISION ONE DELAND, LLC
Practice address
801 N Stone St
Deland, FL 32720-3255
Phone
(386) 734-4431
NPI assigned
Dec 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Dr. Kourosh Nazari
Title
Ceo
Phone
(386) 734-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

801 N Stone St
Deland, FL 32720-3255

Mailing address

801 N Stone St
Deland, FL 32720-3255
Phone (386) 734-4431

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1255803979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203255",
            "telephone_number": "386-734-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203255",
            "telephone_number": "386-734-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION ONE DELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "NAZARI",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-734-4431",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.