Individual provider Active NPI

Clinton L Fletcher, MD

  • Ophthalmology Physician
  • Pensacola, FL
National Provider Identifier
1356337364
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
54288 Issued in FL
Practice address
6190 N Davis Hwy
Pensacola, FL 32504-6969
Phone
(850) 476-9236
Fax
(850) 471-0557
NPI assigned
Sep 26, 2005
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 54288 FL Primary

Addresses

Primary practice location

6190 N Davis Hwy
Pensacola, FL 32504-6969

Mailing address

6190 N Davis Hwy
Pensacola, FL 32504-6969
Phone (850) 476-9236

Other practice location 1

4427 Highway 90
Pace, FL 32571-2066
Phone (850) 501-0799

Other practice location 2

3577 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3407
Phone (850) 501-0799

Other identifiers 1

IdentifierTypeStateIssuer
268167600MedicaidFL

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
I20100302000416 FL Practitioner - Ophthalmology 8022153014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sight of Northwest Florida, PAGroup PAC ID 1254314669, 8 clinicians

Practice addresses (Care Compare)

6190 N Davis Hwy
Pensacola, FL 32504-6969
Phone (850) 476-9236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54288FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Eye Associates LLC Ophthalmology Current Accepting new patients
Center for Sight of Northwest Florida PA Ophthalmology CurrentSince Oct 1, 2003 Accepting new patients

Locations

3577 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 476-9236

4427 Highway 90
Pace, FL 32571
Phone (850) 994-0039

6190 N Davis Hwy
Pensacola, FL 32504
Phone (850) 476-9236

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Interoperability endpoints

  • Direct secure messaging: cfletcher@esp.intellechartdirect.net

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1356337364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046969",
            "telephone_number": "850-476-9236",
            "fax_number": "850-471-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046969",
            "telephone_number": "850-476-9236",
            "fax_number": "850-471-0557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4427 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325712066",
            "country_code": "US",
            "telephone_number": "850-501-0799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3577 Gulf Breeze Pkwy",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325633407",
            "country_code": "US",
            "telephone_number": "850-501-0799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "CLINTON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "54288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268167600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.