Individual provider Active NPI

Nicole Glaudine Cremata, O.D., PA

  • Optometrist
  • Marathon, FL
National Provider Identifier
1487726402
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4012 Issued in FL
Practice address
5800 Overseas Hwy Ste 43
Marathon, FL 33050-2744
Phone
(305) 743-6939
Fax
(305) 743-6927
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4012 FL Primary

Addresses

Primary practice location

5800 Overseas Hwy Ste 43
Marathon, FL 33050-2744

Mailing address

5800 Overseas Hwy Ste 43
Marathon, FL 33050-2744
Phone (305) 743-6939

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
I20120221000784 FL Practitioner - Optometry 1951569086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicole Cremata OD PAGroup PAC ID 6507024627, 2 clinicians

Practice addresses (Care Compare)

5800 Overseas Hwy
Suite 43
Marathon, FL 33050-2744
Phone (305) 743-6939

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fishermens Health Inc PastSince Nov 21, 2016 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1487726402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 OVERSEAS HWY STE 43",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502744",
            "telephone_number": "305-743-6939",
            "fax_number": "305-743-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 OVERSEAS HWY STE 43",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502744",
            "telephone_number": "305-743-6939",
            "fax_number": "305-743-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREMATA",
        "first_name": "NICOLE",
        "middle_name": "GLAUDINE",
        "name_prefix": "Dr.",
        "credential": "O.D., PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

Verify at the official NPI Registry.