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EYE CENTER OF NORTH FLORIDA P.A. NPI 1912002395


NPI Information

NPI: 1912002395
Provider Name: EYE CENTER OF NORTH FLORIDA, P.A.

Other Name: PORT ST. JOE OFFICE

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 10D2080788

Address:
528B 5TH ST
PORT ST JOE, FL
ZIP 32456
Phone: (850) 227-7266
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EYE CENTER OF NORTH FLORIDA, P.A. is an optometrist in Port St Joe, FL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. EYE CENTER OF NORTH FLORIDA, P.A. NPI is 1912002395. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Port St. Joe Office.

The provider's business location address is:

528B 5TH ST
PORT ST JOE, FL
ZIP 32456-754
Phone: (850) 227-7266
Fax: (850) 229-2595

The provider's authorized official is Kathi Nichols .
The authorized official title is Office Manager and has the following contact phone number (850) 784-3937.

The CLIA number assigned to this NPI record is 10D2080788 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 4/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact ManagementNo
2152WL0500XOptometristLow Vision RehabilitationNo
3152WP0200XOptometristPediatricsNo
4207W00000XOphthalmologyNo
5332H00000XEyewear SupplierNo
6152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11740213529OTHERFLORIDAGROUP NPI
2CG6943OTHERFLORIDARR MEDICARE
3257952901MEDICAIDFLORIDA
445154COTHERFLORIDABLUE CROSS & BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.