- Optometrist in Port St Joe, FL

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is a Optometrist based in Port St Joe, Florida. is licensed to practice in * (Not Available) (license number ) and their current practice location is 528b 5th St, Port St Joe, Florida. It can be reached at their office (for appointments etc.) via phone at (850) 227-7266.

NPI number for is 1912002395 and their current mailing address is 2500 Martin Luther King Jr. Blvd, Panama City, Florida. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1912002395.

Contact Information

528b 5th St,
Port St Joe, FL 32456-1754
(850) 227-7266
(850) 229-2595

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOptometrist
Location528b 5th St, Port St Joe, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912002395
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 04/20/2023

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912002395NPI-NPPES
1740213529OtherFLGROUP NPI
CG6943OtherFLRR MEDICARE
257952901MedicaidFL
45154COtherFLBLUE CROSS & BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary
152WC0802XOptometrist - Corneal And Contact Management (* (Not Available))Secondary
152WL0500XOptometrist - Low Vision Rehabilitation (* (Not Available))Secondary
152WP0200XOptometrist - Pediatrics (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Secondary
332H00000XEyewear Supplier (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2500 Martin Luther King Jr. Blvd,
Panama City, FL 32405-4412

Ph: (850) 784-3937
528b 5th St,
Port St Joe, FL 32456-1754

Ph: (850) 227-7266

Reviews and Comments


Optometrist in Port St Joe, FL


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.