Individual provider Active NPI

James Hemmig, OD PA

  • Optometrist
  • Niceville, FL
National Provider Identifier
1619905718
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1840 Issued in FL
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

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
19248ZOtherFLINDIVIDUAL PTAN NUMBER
1619905718OtherFLINDIVIDUAL NPI NUMBER
0560740001OtherFLMEDICARE DMEPOS PTAN
078281500MedicaidFL

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
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

ProcedureNumber of procedures
Cataract surgery1-10

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

Verify at the official NPI Registry.