Provider Demographics
NPI:1760795181
Name:HONEYMAN, DUSTIN JAMES (OD)
Entity Type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:JAMES
Last Name:HONEYMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:DUSTIN
Other - Middle Name:JAMES
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5433 ROBERTS ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-3937
Mailing Address - Country:US
Mailing Address - Phone:913-422-5200
Mailing Address - Fax:913-422-5218
Practice Address - Street 1:5433 ROBERTS ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226-3937
Practice Address - Country:US
Practice Address - Phone:913-422-5200
Practice Address - Fax:913-422-5218
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS1871152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist