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EMERALD COAST EYE INSTITUTE LLC
NPI 1669421467
Ophthalmology in Fort Walton Beach, FL

Active since May 09, 2006
911 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 862-4001(850) 862-1612 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Emerald Coast Eye Institute Llc NPPES

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

EMERALD COAST EYE INSTITUTE LLC (NPI 1669421467) is a healthcare organization registered as an ophthalmology in Fort Walton Beach, Florida and active in the NPI registry since May 2006. The organization lists Noreen Poppell, Adminstratior, as its authorized official.

NPPES Registry Identity

NPI1669421467
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEMERALD COAST EYE INSTITUTE LLC
Location Address911 MAR WALT DRFort Walton Beach, FL 32547-6705
Mailing Address911 Mar Walt DrFort Walton Beach, FL 32547-6705 · (850) 862-4001 · Fax (850) 862-1612
Phone(850) 862-4001
Fax(850) 862-1612
Organization SubpartNo
Authorized OfficialNoreen PoppellAdminstratior · (850) 862-4001
Enumeration DateMay 9, 2006
Last NPPES UpdateNovember 6, 2023
NPPES CertifiedNovember 6, 2023
✔ NPI 1669421467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
911 MAR WALT DR, Fort Walton Beach, FL 32547
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emerald Coast Eye Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Emerald Coast Eye Institute LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Todd Robinson, M.D.
Ophthalmology
NPI 1336153055
911 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 862-4001
✔ PECOS✔ Accepts MedicareSame address
Larry Gabriel, M.D.
Ophthalmology
NPI 1184637282
1034 MAR WALT DR STE 200
Fort Walton Beach, FL 32547
(850) 862-4001
✔ PECOS0.3 mi
E. M. Brendan Wyatt
Ophthalmology
NPI 1538173646
2 OFFICE PARK CIR
Selma, AL 36701
(334) 872-3403
✔ PECOS✔ Accepts Medicare139 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Emerald Coast Eye Institute LLC's NPI number?

The NPI number for Emerald Coast Eye Institute LLC is 1669421467. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Emerald Coast Eye Institute LLC located?

Emerald Coast Eye Institute LLC is located at 911 Mar Walt Dr, Fort Walton Beach, FL 32547. The listed phone number is (850) 862-4001.

What is Emerald Coast Eye Institute LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Emerald Coast Eye Institute LLC enrolled in Medicare?

Yes. Emerald Coast Eye Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emerald Coast Eye Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Ophthalmology, reassign their Medicare billing to Emerald Coast Eye Institute LLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Emerald Coast Eye Institute LLC was last updated on November 6, 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.