Eye Site of Crestivew PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3124 Issued in FL

Legal business name

EYE SITE OF CRESTIVEW PA

Practice address

1005 S Ferdon Blvd
Crestview, FL 32536-4509

Phone

(850) 682-1859

Fax

(850) 682-8674

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher R Howard, O.D.NPI 1629108709

Title

Owner / President

Phone

(850) 682-1859

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://eyesitecrestview.ef.prod.fhir.ema-api.com/fhir/r4/

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher R Howard, O.D.

  • Optometrist
  • Crestview, FL
  • NPI 1629108709
  Medicare reassignment Authorized official
• Gene Terrezza, O.D.

  • Optometrist
  • Pensacola, FL
  • NPI 1295929933
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1649449117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364509",
            "telephone_number": "850-682-1859",
            "fax_number": "850-682-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364509",
            "telephone_number": "850-682-1859",
            "fax_number": "850-682-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE OF CRESTIVEW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "850-682-1859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianie Esperon
• Homer D Estep, C.R.N.A.
• Chelsea Rayna Evans, O.D.
• William Lewis Everett, RPH
• Exit 56 Therapy Group LLC
• Katerina Fagan, ACNPC-AG
• Tricia Hope Fagan, LMHC
• John Myron Faircloth, NP
• Family Vision of Crestview LLC
• Hannah Felhofer, PA

• Optometrist in Crestview, FL
• Providers in Crestview, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.