Daniel P Shea, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC005124 Issued in FL

Practice address

10000 Bay Pines Blvd Unit 106
Bay Pines, FL 33744-8202

Phone

(727) 398-6661

NPI assigned

Oct 24, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1952687816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 11TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135701",
            "telephone_number": "727-744-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD UNIT 106",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "337448202",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "DANIEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2021-12-09",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003069",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riya Samir Shah, PHARMD
• Shelby Shamas, D.O.
• Jaime Shapiro, PH.D.
• Aaron Shaposhnikov, PHARMD
• Katelyn Elizabeth Shatz, PHARM.D
• James J Shear, PA-C
• Michael P Shear, M.D.
• Matthew Mark Sherman, PHARM.D.
• Udipi Ramachandra Shettigar
• Brian Shoemaker, MD

• Optometrist in Bay Pines, FL
• Providers in Bay Pines, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.