EYE M.D. OF NICEVILLE LLC
NPI 1962875823
Ophthalmology in Niceville, FL

Q: What is Eye M.D. Of Niceville LLC's NPI number?

The NPI number for Eye M.D. Of Niceville LLC is 1962875823. It was assigned to this organization in the NPPES registry on November 1, 2015.

Q: What is Eye M.D. Of Niceville LLC's specialty?

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

Active since November 01, 2015

1480 HICKORY ST, SUITE #104, NICEVILLE, FL 32578(850) 933-8318 Get Directions Write a Review

NPPES record last updated: November 1, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Eye M.d. Of Niceville Llc NPPES

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

EYE M.D. OF NICEVILLE LLC (NPI 1962875823) is a healthcare organization registered as an ophthalmology in Niceville, Florida and active in the NPI registry since November 2015. The organization lists Nathaniel Jacob Ruttig, Principal Manager, as its authorized official.

NPPES Registry Identity

NPI1962875823

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameEYE M.D. OF NICEVILLE LLC

Location Address1480 HICKORY ST, SUITE #104Niceville, FL 32578-8846

Mailing Address1480 Hickory St, Suite #104Niceville, FL 32578-8846 · (850) 933-8318

Phone(850) 933-8318

Organization SubpartNo

Authorized OfficialNathaniel Jacob RuttigPrincipal Manager · (850) 933-8318

Enumeration DateNovember 1, 2015

✔ NPI 1962875823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · ME116522

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.

1480 HICKORY ST, Niceville, FL 32578

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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)

Eye M.d. Of Niceville Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Eye M.D. Of Niceville LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nathaniel Ruttig, M.D.

Ophthalmology

NPI 1295710127

1480 HICKORY ST SUITE 104
Niceville, FL 32578

(850) 760-0500

✔ PECOS✔ Accepts MedicareSame address

Heather Weatherall, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1275689648

801 E 6TH ST SUITE 205
Panama City, FL 32401

(850) 785-3185

✔ Accepts Medicare51 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 Eye M.D. Of Niceville LLC's NPI number?

The NPI number for Eye M.D. Of Niceville LLC is 1962875823. It was assigned to this organization in the NPPES registry on November 1, 2015.

Where is Eye M.D. Of Niceville LLC located?

Eye M.D. Of Niceville LLC is located at 1480 Hickory St Suite #104, Niceville, FL 32578. The listed phone number is (850) 933-8318.

What is Eye M.D. Of Niceville LLC's specialty?

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

Is Eye M.D. Of Niceville LLC enrolled in Medicare?

Yes. Eye M.D. Of Niceville LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye M.D. Of Niceville LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Eye M.D. Of Niceville LLC, in Certified Registered Nurse Anesthetist (CRNA) and Ophthalmology. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eye M.D. Of Niceville LLC was last updated on November 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.