CHIPLEY OFFICE
NPI 1194820571
Optometrist in Chipley, FL
About Chipley Office NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHIPLEY OFFICE (NPI 1194820571) is a healthcare organization registered as an optometrist in Chipley, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Kathi Nichols, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chipley Office is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Chipley Office, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2100456
Eye Center Of North Fl, The · Chipley, FLFrequently 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 Eye Center Of North Florida, P.A.'s NPI number?
The NPI number for Eye Center Of North Florida, P.A. is 1194820571. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is also known as Chipley Office.
Where is Eye Center Of North Florida, P.A. located?
Eye Center Of North Florida, P.A. is located at 1400 Main St, Chipley, FL 32428. The listed phone number is (850) 638-7333.
What is Eye Center Of North Florida, P.A.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Eye Center Of North Florida, P.A. enrolled in Medicare?
Yes. Eye Center Of North Florida, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eye Center Of North Florida, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Eye Center Of North Florida, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (6) and Ophthalmology (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eye Center Of North Florida, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2100456) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Eye Center Of North Florida, P.A. accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Eye Center Of North Florida, P.A. 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 Eye Center Of North Florida, P.A. was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Chipley Office · NPI 1194820571
Optometrist organization in Chipley, Florida. Organization record, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1194820571 (Entity type: Organization)
- **Enumerated:** September 13, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Eye Center Of North Florida, P.a.
- **Organization subpart:** Yes (part of Eye Center Of North Florida)
- **Authorized official:** Kathi Nichols, OFFICE MANAGER
## Practice location
- **Address:** 1400 MAIN ST, Chipley, FL 32428-6943
- **Phone:** (850) 638-7333 · **Fax:** (850) 638-9727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (6), Ophthalmology (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2023
- **Other identifiers:** Other CG6943 (FL); Other 1740213529; Medicaid 257952902 (FL); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194820571) · Data from the CMS NPPES public registry.