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CABANA EYES OPTICAL
NPI 1154867554
Eyewear Supplier in Crestview, FL

Active since January 10, 2017
4100 S FERDON BLVD, SUITE B5, CRESTVIEW, FL 32536(850) 758-0474(850) 826-0057 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2019, Oct 15, 2019, Oct 8, 2019 and 1 more (4 updates tracked since 2017).

About Cabana Eyes Optical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CABANA EYES OPTICAL (NPI 1154867554) is a healthcare organization registered as an eyewear supplier in Crestview, Florida and active in the NPI registry since January 2017. The organization lists Edward Mitchell, Owner/ Visual Resource Director, as its authorized official.

NPPES Registry Identity

NPI1154867554
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCABANA EYES OPTICAL
Location Address4100 S FERDON BLVD, SUITE B5Crestview, FL 32536-5252
Mailing Address4100 S Ferdon Blvd, Suite B5Crestview, FL 32536-5252 · (850) 306-2580 · Fax (850) 423-0142
Phone(850) 758-0474
Fax(850) 826-0057
Organization SubpartYesParent: Edward Mitchell Jr
Authorized OfficialEdward MitchellOwner/ Visual Resource Director · (850) 758-0474
Enumeration DateJanuary 10, 2017
Last NPPES UpdateOctober 23, 20194 updates tracked since enumeration
✔ NPI 1154867554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
4100 S FERDON BLVD, Crestview, FL 32536
Open in Google Maps ↗

Other Identifiers 1

Medicaid003088900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA ANN GIBSON MSN, CNM, ARNP
Advanced Practice Midwife
4100 S FERDON BLVD, SUITE A4
CRESTVIEW, FL 32536
Okaloosa County (850) 398-8940
MR. RANDYN SHAMAR MCMILLAN CO, LDO
Technician/Technologist (Orthoptist)
4100 S FERDON BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 204-4762
ALLISON RIVERS
Speech-Language Pathologist
4100 S FERDON BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 682-8388
DIANA GIBBS
Physical Therapist
4100 S FERDON BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 682-8388
CHARLES SEDILLO MATA CO
Specialist
4100 S FERDON BLVD, B-4
CRESTVIEW, FL 32536
Okaloosa County (850) 449-0380
MRS. STACY MARIE TAYLOR
Occupational Therapist
4100 S FERDON BLVD, SUITE C-1
CRESTVIEW, FL 32536
Okaloosa County (850) 682-8388
PRIME THERAPY, INC
Clinic/Center
4100 S FERDON BLVD, STE A1
CRESTVIEW, FL 32536
Okaloosa County (850) 682-8388
DESIRAY LAVON GREER
Behavior Analyst
4100 S FERDON BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 362-6824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cabana Eyes Optical's NPI number?

The NPI number for Cabana Eyes Optical is 1154867554. It was assigned to this organization in the NPPES registry on January 10, 2017.

Where is Cabana Eyes Optical located?

Cabana Eyes Optical is located at 4100 S Ferdon Blvd Suite B5, Crestview, FL 32536. The listed phone number is (850) 758-0474.

What is Cabana Eyes Optical's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

What insurance does Cabana Eyes Optical accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Cabana Eyes Optical as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cabana Eyes Optical was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.