Organization Active NPI

Second Optometric Care of Florida PA

  • Optometrist
  • Niceville, FL
National Provider Identifier
1346075959
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SECOND OPTOMETRIC CARE OF FLORIDA PA
Doing business as
Palm Eye Care
Practice address
1103 John Sims Pkwy E
Niceville, FL 32578-2752
Phone
(850) 279-4361
NPI assigned
Sep 4, 2024
Organization subpart
Yes
Parent organization
PALM EYE CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Brittany Harrison
Title
Director
Phone
(850) 279-4361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1103 John Sims Pkwy E
Niceville, FL 32578-2752

Mailing address

3333 Quality Dr
Rancho Cordova, CA 95670-7985
Phone (916) 851-6611

Other names 1

  • Palm Eye Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Second Optometric Care of Florida PA2 organizations share this tax ID, including this one
Part of
Second Optometric Care of Florida PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1103 John Sims Pkwy E
Niceville, FL 32578
Phone (850) 279-4361

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1346075959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 QUALITY DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707985",
            "telephone_number": "916-851-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 JOHN SIMS PKWY E",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782752",
            "telephone_number": "850-279-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND OPTOMETRIC CARE OF FLORIDA PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALM EYE CARE",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-279-4361"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.