| Vision One Inc | |
| 1900 Mason Ave Ste 100, Daytona Beach, FL 32117-5103 | |
| (386) 274-5525 | |
| (386) 274-5585 | 
| Full Name | Vision One Inc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 1900 Mason Ave Ste 100, Daytona Beach, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457308322 | NPI | - | NPPES | 
| 620222500 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary | 
| Provider Name | Kourosh Nazari | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1881685741 PECOS PAC ID: 7719942754 Enrollment ID: I20041201000453 | 
| Provider Name | Farah K Galaydh | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1073584546 PECOS PAC ID: 7810929817 Enrollment ID: I20050909000598 | 
| Provider Name | Navid Vahidi | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1215961107 PECOS PAC ID: 9739145442 Enrollment ID: I20061220000199 | 
| Provider Name | Gregory T Kipp | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1265488134 PECOS PAC ID: 9133220841 Enrollment ID: I20070725000392 | 
| Provider Name | Kimberly A Menza | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1386872174 PECOS PAC ID: 8224219142 Enrollment ID: I20110225000447 | 
| Provider Name | Michael L. Haynes | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1194721001 PECOS PAC ID: 8729086319 Enrollment ID: I20111205000086 | 
| Provider Name | Jalene K Haynes | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1013322627 PECOS PAC ID: 2769609833 Enrollment ID: I20140813001898 | 
| Provider Name | Shivam D Patel | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1053829424 PECOS PAC ID: 2860754587 Enrollment ID: I20180316001742 | 
| Provider Name | Jeffrey R Golen | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1952628075 PECOS PAC ID: 8325264393 Enrollment ID: I20190211000119 | 
| Provider Name | Alyssa L Perlman-hensen | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1154842961 PECOS PAC ID: 6901163757 Enrollment ID: I20210526001764 | 
| Provider Name | Joseph Licht | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1497147680 PECOS PAC ID: 3678868536 Enrollment ID: I20211116003210 | 
| Provider Name | Brent Ronald Mittelstaedt | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1679751358 PECOS PAC ID: 9739447582 Enrollment ID: I20220823002846 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Vision One Inc 1900 Mason Ave Ste 100, Daytona Beach, FL 32117-5103 Ph: (386) 274-5525 | Vision One Inc 1900 Mason Ave Ste 100, Daytona Beach, FL 32117-5103 Ph: (386) 274-5525 | 
| Dr. Jalene Haynes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Mason Ave, Suite 100, Daytona Beach, FL 32117 Phone: 386-274-5525 | |
| Shanelle Jenkins, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Daytona Beach, FL 32114 Phone: 386-323-7500 | |
| Shivam Patel,  Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Mason Ave Ste 100, Daytona Beach, FL 32117 Phone: 386-274-5525 | |
| Ronald E Monacelli, OD Optometrist Medicare: Medicare Enrolled Practice Location: 701 S Ridgewood Ave, Daytona Beach, FL 32114 Phone: 386-253-5999 Fax: 386-258-3973 | |
| Leah Wiedemamn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 716 N Halifax Ave Apt 9, Daytona Beach, FL 32118 Phone: 314-583-0324 | |
| Dr. Ian D. Raden, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 551 National Health Care Dr, Eye Clinic, Daytona Beach, FL 32114 Phone: 386-323-7500 | |
| Todd Geis, MD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-676-7103 |