Shawna Moinipour, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6454 Issued in FL

Practice address

161 Hampton Point Dr Ste 3
St Augustine, FL 32092-3058

Phone

(904) 287-9137

NPI assigned

Jun 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shawna Moinipour Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

St Johns Eye Associates PAGroup PAC ID 6406990605, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• St Johns Eye Associates PA

  • Optometrist
  • St Augustine, FL
  • NPI 1710185798
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Florida, LLC

  dba MyEyeDr.

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028
  Medicare reassignment Care Compare group
• St Johns Eye Associates PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1609502178
  NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1447091657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HAMPTON POINT DR STE 3",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923058",
            "telephone_number": "904-287-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINIPOUR",
        "first_name": "SHAWNA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "MOINIPOUR",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas Pollard Mitchell, LCSW
• Georgia Michelle Mobley
• Tina Lynne Mobley, APRN
• Modern Therapy & Counseling, LLC
• Laura Moerman, OTR
• Carolyn Moldovanyi, LMHC, LMFT
• Brenda Molina-Baez
• Christy Louise Monaghan, PH.D.
• Clark V Monahan, D.C.
• Monarch Mobile Physical Therapy LLC

• Optometrist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.