Active NPI
Thomas Allen Streeter, OD
- Optometrist
- Crestview, FL
National Provider Identifier
1447246590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC004068
- Practice address
- 951 S Ferdon Blvd
Crestview, FL 32536-4507 - Phone
- (850) 331-3918
- NPI assigned
- Sep 23, 2005
- Last updated
- Jul 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | OPC004068 | FL | Primary |
Addresses
Primary practice location
951 S Ferdon Blvd
Crestview, FL 32536-4507
Mailing address
100 Swift Creek CT
Niceville, FL 32578-3710
Phone (850) 758-5981
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC004068 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Optometric Care of Florida PA | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Crestview, FL
- NPI 1720795933
-
- Optometrist
- Niceville, FL
- NPI 1548027873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1447246590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SWIFT CREEK CT",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325783710",
"telephone_number": "850-758-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 S FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325364507",
"telephone_number": "850-331-3918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREETER",
"first_name": "THOMAS",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC004068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.