PORT ST. JOE OFFICE
NPI 1912002395
Optometrist in Port St Joe, FL

Q: What is Eye Center Of North Florida, P.A.'s NPI number?

The NPI number for Eye Center Of North Florida, P.A. is 1912002395. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is also known as Port St. Joe Office.

Q: What is Eye Center Of North Florida, P.A.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since September 13, 2006

528B 5TH ST, PORT ST JOE, FL 32456(850) 227-7266(850) 229-2595 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Port St. Joe Office NPPES

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

PORT ST. JOE OFFICE (NPI 1912002395) is a healthcare organization registered as an optometrist in Port St Joe, Florida and active in the NPI registry since September 2006. The organization lists Kathi Nichols, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912002395

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameEYE CENTER OF NORTH FLORIDA, P.A.

Location Address528B 5TH STPort St Joe, FL 32456-1754

Mailing Address2500 Martin Luther King Jr. BlvdPanama City, FL 32405-4412 · (850) 784-3937 · Fax (850) 522-9829

Phone(850) 227-7266

Fax(850) 229-2595

Organization SubpartYesParent: Eye Center Of North Florida

Authorized OfficialKathi NicholsOffice Manager · (850) 784-3937

Enumeration DateSeptember 13, 2006

Last NPPES UpdateApril 20, 2023

NPPES CertifiedApril 20, 2023

✔ NPI 1912002395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X

Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedEyewear SupplierTaxonomy 332H00000X

528B 5TH ST, Port St Joe, FL 32456

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Other Names 1

Other NamePort St. Joe Office

Other Identifiers 4

Other1740213529FL · Group Npi

OtherCG6943FL · Rr Medicare

Medicaid257952901FL

Other45154CFL · Blue Cross & Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Port St. Joe Office is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to Port St. Joe Office, which bills Medicare for the services they deliver. They are listed nearest first.