Active NPI
Victoria V. Haines, O.D.
- Optometrist
- Pinellas Park, FL
National Provider Identifier
1447365085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2656
- Practice address
- 9375 66TH St N
Pinellas Park, FL 33782-4418 - Phone
- (727) 541-4469
- Fax
- (727) 546-9661
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC2656 | FL | Primary |
Addresses
Primary practice location
9375 66TH St N
Pinellas Park, FL 33782-4418
Mailing address
9375 66TH St N
Pinellas Park, FL 33782-4418
Phone (727) 541-4469
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002644 | Other | FL | OPTOMETRIST PRESCRIBER # |
| OPC2656 | Other | FL | CERTIFIED OPTOMETRIST |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Eye Institute, PA | Optometrist | Current | Accepting new patients |
Locations
9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469
Networks
- Freedom Health HMO Network
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": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1447365085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9375 66TH ST N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337824418",
"telephone_number": "727-541-4469",
"fax_number": "727-546-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9375 66TH ST N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337824418",
"telephone_number": "727-541-4469",
"fax_number": "727-546-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "VICTORIA",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRIST PRESCRIBER #",
"identifier": "0002644",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED OPTOMETRIST",
"identifier": "OPC2656",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}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 Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.