Organization Active NPI

James D. Hemmig, O.D., P.a.

  • Eyewear Supplier
  • Niceville, FL
National Provider Identifier
1225268758
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC1840 Issued in FL
Legal business name
JAMES D. HEMMIG, O.D., P.A.
Practice address
4400 E Highway 20 Ste 112
Niceville, FL 32578-9735
Phone
(850) 897-2020
Fax
(850) 897-1064
NPI assigned
Jul 17, 2009
Last updated
Jul 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Dr. James Douglas Hemmig, O.D., P.A.NPI 1619905718
Title
Owner
Phone
(850) 897-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPC1840 FL Primary

Addresses

Primary practice location

4400 E Highway 20 Ste 112
Niceville, FL 32578-9735

Mailing address

4400 E Highway 20 Ste 112
Niceville, FL 32578-9735
Phone (850) 897-2020

Other identifiers 1

IdentifierTypeStateIssuer
078281500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110118001024 FL Part B Supplier - Clinic/Group Practice 3476672270 Receives reassigned benefits from 1 practitioner
Practice locations: Niceville, FL

National Provider Directory

National Provider Directory

Locations

4400 E Highway 20
Ste 112
Niceville, FL 32578
Phone (850) 897-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1225268758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 E HIGHWAY 20 STE 112",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325789735",
            "telephone_number": "850-897-2020",
            "fax_number": "850-897-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E HIGHWAY 20 STE 112",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325789735",
            "telephone_number": "850-897-2020",
            "fax_number": "850-897-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D. HEMMIG, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "HEMMIG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-897-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., P.A."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC1840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078281500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.