NPIMap

Organization Active NPI

Shamika L Honeyblue OD PA

  • Optometrist
  • Pinellas Park, FL
National Provider Identifier
1073906194
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4445 Issued in FL
Legal business name
SHAMIKA L HONEYBLUE OD PA
Doing business as
Haines Vision Center
Practice address
7211 US Highway 19 N
Pinellas Park, FL 33781-4613
Phone
(727) 521-2020
Fax
(727) 521-6762
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Shamika Lynette Honeyblue, OD
Title
OD/Owner
Phone
(727) 521-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4445 FL Primary

Addresses

Primary practice location

7211 US Highway 19 N
Pinellas Park, FL 33781-4613

Mailing address

4601 Grayview CT
Apt 209C
Tampa, FL 33609-5000
Phone (727) 521-2020

Other names 1

  • Haines Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

7211 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 521-2020

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1073906194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 GRAYVIEW CT",
            "address_2": "APT 209C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336095000",
            "telephone_number": "727-521-2020",
            "fax_number": "727-521-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 US HIGHWAY 19 N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814613",
            "telephone_number": "727-521-2020",
            "fax_number": "727-521-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMIKA L HONEYBLUE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "HONEYBLUE",
        "authorized_official_first_name": "SHAMIKA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "727-521-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haines Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.