Organization Active NPI

Daytona Vision Center Inc

  • Optometrist
  • Port Orange, FL
National Provider Identifier
1912097353
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC#002791 Issued in FL
Legal business name
DAYTONA VISION CENTER INC
Practice address
733 Dunlawton Avenue
Suite 101
Port Orange, FL 32127
Phone
(386) 252-3619
Fax
(386) 252-4429
NPI assigned
Oct 14, 2006
Last updated
Dec 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Dr. Michael L Hay, ODNPI 1770556888
Title
Owner
Phone
(386) 252-3619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC#002791 FL Primary

Addresses

Primary practice location

733 Dunlawton Avenue
Suite 101
Port Orange, FL 32127

Mailing address

733 Dunlawton Avenue
Suite 101
Port Orange, FL 32127
Phone (386) 252-3619

National Provider Directory

National Provider Directory

Locations

1700 W International Speedway Blvd
Ste 188
Daytona Beach, FL 32114
Phone (386) 252-3619

733 Dunlawton Ave
Ste 101
Port Orange, FL 32127
Phone (386) 252-3619

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1912097353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 DUNLAWTON AVENUE",
            "address_2": "SUITE 101",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-252-3619",
            "fax_number": "386-252-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 DUNLAWTON AVENUE",
            "address_2": "SUITE 101",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-252-3619",
            "fax_number": "386-252-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTONA VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-252-3619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC#002791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.