Active NPI
Sight and Sun Eyeworks LLC
Doing business as Clarkson Eye Care
- Optometrist
- Fort Walton Beach, FL
National Provider Identifier
1144492182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SIGHT AND SUN EYEWORKS LLC
- Doing business as
- Clarkson Eye Care
- Practice address
- 417A Racetrack Rd NW
Fort Walton Beach, FL 32547-4600 - Phone
- (636) 200-4393
- Fax
- (850) 864-2844
- NPI assigned
- Mar 31, 2008
- Last updated
- Jun 12, 2019
- Organization subpart
- Yes
- Parent organization
- SIGHT AND SUN EYEWORKS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edith Viviana Salas, AMA, CPO
- Title
- Credentialing Coordinator
- Phone
- (850) 479-7379
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
417A Racetrack Rd NW
Fort Walton Beach, FL 32547-4600
Mailing address
15933 Clayton Rd
Suite 201
Ballwin, MO 63011-2172
Phone (850) 479-7379
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97937 | Other | FL | FLORIDA BLUE |
| 001650400 | Medicaid | FL |
Other names 1
- CLARKSON EYE CARE
National Provider Directory
National Provider Directory- Part of
- Sight Sun Eyeworks
Locations
417A Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 315-8861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560297600000",
"number": "1144492182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15933 CLAYTON RD",
"address_2": "SUITE 201",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112172",
"telephone_number": "850-479-7379",
"fax_number": "850-497-6219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417A RACETRACK RD NW",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325474600",
"telephone_number": "636-200-4393",
"fax_number": "850-864-2844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIGHT AND SUN EYEWORKS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SIGHT AND SUN EYEWORKS LLC",
"enumeration_date": "2008-03-31",
"last_updated": "2019-06-12",
"status": "A",
"authorized_official_last_name": "SALAS",
"authorized_official_first_name": "EDITH",
"authorized_official_middle_name": "VIVIANA",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "850-479-7379",
"authorized_official_credential": "AMA, CPO"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "97937",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001650400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CLARKSON EYE CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CLARKSON EYE CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.