Individual provider Active NPI

Dustin James Honeyman, OD

  • Optometrist
  • Shawnee, KS
National Provider Identifier
1760795181
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS1871 Issued in KS
Practice address
5433 Roberts St
Shawnee, KS 66226-3937
Phone
(913) 422-5200
Fax
(913) 422-5218
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X KS1871 KS Primary

Addresses

Primary practice location

5433 Roberts St
Shawnee, KS 66226-3937

Mailing address

5433 Roberts St
Shawnee, KS 66226-3937
Phone (913) 422-5200

Other names 1

  • Dustin James Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20120420000550 KS Practitioner - Optometry 1759542566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honeyman Investments LLCGroup PAC ID 5890934830, 2 clinicians

Practice addresses (Care Compare)

5433 Roberts St
Shawnee, KS 66226-3937
Phone 9134225200204

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KS1871KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Honeyman Investments LLC Optometrist CurrentSince Mar 23, 2015 Accepting new patients
Midland Eye Care LLC CurrentSince Aug 30, 2024 Accepting new patients
Honeyman Investments LLC CurrentSince Mar 23, 2015 Accepting new patients
Eye Associates of Olathe PA Optometrist PastSince Jul 27, 2003 Accepting new patients
Eye Associates of Prairie Village,PA Optometrist PastSince Jul 1, 2012 Accepting new patients
Eye Associates of Shawnee PA Optometrist PastSince Jan 19, 2011 Accepting new patients
Eye Associates of Leawood PA Optometrist PastSince Dec 1, 2007 Accepting new patients

Locations

15345 W 119th St
Olathe, KS 66062
Phone (913) 393-4420

5433 Roberts St
Shawnee, KS 66226
Phone (912) 422-5200

Organizations & group practices 7

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1760795181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 ROBERTS ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263937",
            "telephone_number": "913-422-5200",
            "fax_number": "913-422-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 ROBERTS ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263937",
            "telephone_number": "913-422-5200",
            "fax_number": "913-422-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONEYMAN",
        "first_name": "DUSTIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUSTIN",
            "last_name": "JONES",
            "middle_name": "JAMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.