Haynes, Michael L
Haynes, Michael L is an individual health care provider with primary practice located at 1900 Mason Ave Suite 100, Daytona Beach FL 32117-5103. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Haynes, Michael L can be contacted via phone (386) 274-5525.Contact Information
Primary practice address
1900 Mason Ave Suite 100
Daytona Beach FL 32117-5103
Phone: (386) 274-5525
Fax: (386) 274-5585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OP1839 | Florida |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC1839 | Florida |
Profile Details
| NPI number | 1194721001 |
|---|---|
| LBN Legal business name | Haynes, Michael L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Aug 1st, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194721001 | NPPES |
| Florida | MEDICAID | 078920801 | |
| Florida | Other | 21851 |
Popular Providers
-
Kowing, Dianne
551 National Health Care Dr , Daytona Beach FL 32114-1495 -
Patel, Jayeshkumar
2254 W. International Speedway Blvd. , Daytona Beach FL 32114 -
Belcher, Donna J
1369 Beville Rd , Daytona Beach FL 32119-1529 -
Menza, Kimberly Ann
701 S Ridgewood Ave , Daytona Beach FL 32114-5331 -
Baldwin, Ronald Francis
2475 W International Speedway Blvd Suite 100, Daytona Beach FL 32114-1117 -
Hebert, Michelle M
1101 Beville Rd , Daytona Beach FL 32119-1604 -
Owusu, Nana Yaw
701 S Ridgewood Ave , Daytona Beach FL 32114-5331 -
Raden, Ian D.
551 National Health Care Dr Eye Clinic, Daytona Beach FL 32114-1495