Active NPI
Jordan Nicolas Cutaia
- Optometrist
- Eglin AFB, FL
National Provider Identifier
1265369094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD.OD.70131784
- Practice address
- 307 Boatner Rd
Eglin AFB, FL 32542-1302 - Phone
- (850) 883-8600
- NPI assigned
- May 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD.OD.70131784 | WA | Primary |
Addresses
Primary practice location
307 Boatner Rd
Eglin AFB, FL 32542-1302
Mailing address
307 Boatner Rd
Eglin AFB, FL 32542-1302
Phone (850) 883-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STUDENT | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789862400000",
"number": "1265369094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BOATNER RD",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421302",
"telephone_number": "850-883-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BOATNER RD",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421302",
"telephone_number": "850-883-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTAIA",
"first_name": "JORDAN",
"middle_name": "NICOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-06",
"last_updated": "2026-09-20",
"certification_date": "2026-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD.OD.70131784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eglin AFB, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.