Individual provider Active NPI

Kristine Pierce, MD

  • Retina Specialist (Ophthalmology) Physician
  • Eglin Afb, FL
National Provider Identifier
1083839757
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME131769 Issued in FL
Practice address
340 Boatner Rd
Eglin Afb, FL 32542-1391
Phone
(850) 883-8235
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2006-01763 NC
Ophthalmology Physician 207W00000X ME131769 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME131769 FL Primary

Addresses

Primary practice location

340 Boatner Rd
Eglin Afb, FL 32542-1391

Mailing address

340 Boatner Rd
Eglin Afb, FL 32542-1391
Phone (850) 883-8235

Other practice location 1

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 292-5054

Other practice location 2

2000 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1319
Phone (850) 476-6759

Other practice location 3

5150 N Davis Hwy
Pensacola, FL 32503-2030
Phone (850) 476-6759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004000938 FL Practitioner - Ophthalmology 1355496274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunil Gupta MD LLCGroup PAC ID 9032005855, 10 clinicians

Practice addresses (Care Compare)

5150 N Davis Hwy
Pensacola, FL 32503-2030
Phone (850) 476-6759

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.56

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of North Florida, P.a. CurrentSince Jun 1, 2024 Accepting new patients
Eye Center of North Florida, P.a. Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients
Eye Center of North Florida, P.a. Ophthalmology Current Accepting new patients

Locations

2500 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 522-7951

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1083839757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BOATNER RD",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421391",
            "telephone_number": "850-883-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BOATNER RD",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421391",
            "telephone_number": "850-883-8235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Wilford Hall Loop Bldg 4554",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782365638",
            "country_code": "US",
            "telephone_number": "210-292-5054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Lewis Turner Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471319",
            "country_code": "US",
            "telephone_number": "850-476-6759",
            "fax_number": "850-484-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5150 N Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032030",
            "country_code": "US",
            "telephone_number": "850-476-6759",
            "fax_number": "850-484-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "KRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2006-01763",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME131769",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME131769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eglin Afb, FL

Sources for this page

Verify at the official NPI Registry.