Provider Demographics
NPI:1124129481
Name:HONNORS, ROBERT H (O D)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:HONNORS
Suffix:
Gender:M
Credentials:O D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 E ROMIE LN
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4016
Mailing Address - Country:US
Mailing Address - Phone:831-758-3331
Mailing Address - Fax:831-758-2850
Practice Address - Street 1:419 E ROMIE LN
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4016
Practice Address - Country:US
Practice Address - Phone:831-758-3331
Practice Address - Fax:831-758-2850
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4821T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4821TOtherCA. STATE LICENSE #
CAT09785Medicare UPIN
BV143ZMedicare PIN
CA4821TOtherCA. STATE LICENSE #