# FLORIDA'S VISION QUEST, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336584176
- **Authorized official:** MS. KELLY LYNN HAYNES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (386) 917-1001

## Contact information

- **Practice address:** 167 N INDUSTRIAL DR, ORANGE CITY, FL 32763-7414
- **Practice address phone:** (386) 917-1001
- **Practice address fax:** (386) 917-1008
- **Mailing address:** 167 N INDUSTRIAL DR, ORANGE CITY, FL 32763-7414
- **Mailing address phone:** (386) 917-1001
- **Mailing address fax:** (386) 917-1008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1293 | FL | Yes |

## Other

- **Enumeration date:** 05/07/2013
- **Last updated:** 06/06/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008735000 | — | FL |