Individual provider Active NPI

Nancy M Honda, OD

  • Optometrist
  • Rolling Hills Estates, CA
National Provider Identifier
1023033727
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT9010T Issued in CA
Practice address
715 Silver Spur Rd
Suite 101
Rolling Hills Estates, CA 90274-3678
Phone
(310) 541-3779
Fax
(310) 541-0274
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT9010T CA Primary

Addresses

Primary practice location

715 Silver Spur Rd
Suite 101
Rolling Hills Estates, CA 90274-3678

Mailing address

715 Silver Spur Rd
Suite 101
Rolling Hills Estates, CA 90274-3678
Phone (310) 541-3779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090429000140 CA Practitioner - Optometry 9830247907 Reassigns benefits to 1 organization
Practice locations: Rolling Hills, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT9010TCAMDOptometrist
9010CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Borwen Newman Shiue Optometry Inc Optometrist CurrentSince Aug 1, 2016 Accepting new patients

Locations

727 Silver Spur Rd
Ste 105
Rolling Hills Estates, CA 90274
Phone (310) 541-3779

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1023033727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SILVER SPUR RD",
            "address_2": "SUITE 101",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743678",
            "telephone_number": "310-541-3779",
            "fax_number": "310-541-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SILVER SPUR RD",
            "address_2": "SUITE 101",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743678",
            "telephone_number": "310-541-3779",
            "fax_number": "310-541-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONDA",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9010T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.