Organization Active NPI

Shawn M Hollander OD PA

  • Optometrist
  • Safety Harbor, FL
National Provider Identifier
1174894836
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1930 Issued in FL
Legal business name
SHAWN M HOLLANDER OD PA
Practice address
330 Main St
Safety Harbor, FL 34695-3645
Phone
(727) 791-1233
Fax
(727) 669-9308
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. Shawn M Hollander, O.D.
Title
Pres
Phone
(727) 791-1233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1930 FL Primary

Addresses

Primary practice location

330 Main St
Safety Harbor, FL 34695-3645

Mailing address

330 Main St
Safety Harbor, FL 34695-3645
Phone (727) 791-1233

National Provider Directory

National Provider Directory

Locations

330 Main St
Safety Harbor, FL 34695
Phone (727) 791-1233

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1174894836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MAIN ST",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953645",
            "telephone_number": "727-791-1233",
            "fax_number": "727-669-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MAIN ST",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953645",
            "telephone_number": "727-791-1233",
            "fax_number": "727-669-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN M HOLLANDER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "HOLLANDER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "727-791-1233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.