Individual provider Active NPI

Yousef Jackson Pippin III, OD

  • Optometrist
  • Panama City, FL
National Provider Identifier
1649127580
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6889 Issued in FL
Practice address
1714 W 23Rd St Ste K
Panama City, FL 32405-2924
Phone
(850) 215-9101
NPI assigned
Mar 11, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC6889 FL Primary

Addresses

Primary practice location

1714 W 23Rd St Ste K
Panama City, FL 32405-2924

Mailing address

606 Gabriel St
Panama City, FL 32405-4307
Phone (850) 867-2012

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
I20260513001640 FL Practitioner - Optometry 3870062490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1714 W 23Rd St
Suite K
Panama City, FL 32405-2924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6889FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Eye Care Optometrist CurrentSince Apr 4, 2026 Accepting new patients

Locations

1714 W 23rd St
Ste K
Panama City, FL 32405
Phone (850) 215-9101

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": "1773187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1649127580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 GABRIEL ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054307",
            "telephone_number": "850-867-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 W 23RD ST STE K",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052924",
            "telephone_number": "850-215-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "YOUSEF",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.