Individual provider Active NPI

Jennifer Rebecca Goette, OD

  • Optometrist
  • Fort Walton Beach, FL
National Provider Identifier
1396721650
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2814 Issued in FL
Practice address
914A Mar Walt Dr
Fort Walton Beach, FL 32547-6706
Phone
(850) 244-1828
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2814 FL Primary

Addresses

Primary practice location

914A Mar Walt Dr
Fort Walton Beach, FL 32547-6706

Mailing address

914A Mar Walt Dr
Fort Walton Beach, FL 32547-6706
Phone (850) 244-1828

Other names 1

  • Miss Jennifer Rebecca Hall Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000558 FL Practitioner - Optometry 2567520174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

914 A Mar Walt Dr
Fort Walton Beach, FL 32547-6606
Phone (850) 244-1828

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2814FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer R Goette OD PA Optometrist CurrentSince Jun 19, 2008 Accepting new patients

Locations

350 Racetrack Rd NW
Ste C
Fort Walton Beach, FL 32547
Phone (850) 244-1825

914A Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 598-0099

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1396721650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914A MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476706",
            "telephone_number": "850-244-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914A MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476706",
            "telephone_number": "850-244-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETTE",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HALL",
            "middle_name": "REBECCA",
            "prefix": "MISS",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.