Active NPI
James Hemmig, OD PA
- Optometrist
- Niceville, FL
National Provider Identifier
1619905718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 1840
- Practice address
- 4400 Highway 20 East
Suite 112
Niceville, FL 32578-9735 - Phone
- (850) 897-4941
- Fax
- (850) 897-1064
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | OPC 1840 | FL | Primary |
Addresses
Primary practice location
4400 Highway 20 East
Suite 112
Niceville, FL 32578-9735
Mailing address
4400 Highway 20 East
Suite 112
Niceville, FL 32578-9735
Phone (850) 897-4941
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19248Z | Other | FL | INDIVIDUAL PTAN NUMBER |
| 1619905718 | Other | FL | INDIVIDUAL NPI NUMBER |
| 0560740001 | Other | FL | MEDICARE DMEPOS PTAN |
| 078281500 | Medicaid | FL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110118001050 | FL | Practitioner - Optometry | 3577677913 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4400 E Hwy 20
Suite 112
Niceville, FL 32578-9735
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1619905718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 HIGHWAY 20 EAST",
"address_2": "SUITE 112",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325789735",
"telephone_number": "850-897-4941",
"fax_number": "850-897-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 HIGHWAY 20 EAST",
"address_2": "SUITE 112",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325789735",
"telephone_number": "850-897-4941",
"fax_number": "850-897-1064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMMIG",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "OD PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 1840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN NUMBER",
"identifier": "19248Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "1619905718",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMEPOS PTAN",
"identifier": "0560740001",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078281500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 15, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.