Active NPI
Scott Eye & Vision LLC
- Optometrist
- Niceville, FL
National Provider Identifier
1679438857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SCOTT EYE & VISION LLC
- Practice address
- 1187 John Sims Pkwy E
Niceville, FL 32578-2752 - Phone
- (619) 321-7521
- NPI assigned
- Dec 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dustin Scott, OD
- Title
- Chief Operating Officer
- Phone
- (619) 321-7521
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1187 John Sims Pkwy E
Niceville, FL 32578-2752
Mailing address
200 Page Bacon Rd Apt 2415
Mary Esther, FL 32569-1763
Phone (619) 321-7521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Fort Walton Beach, FL
- NPI 1528800240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1679438857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PAGE BACON RD APT 2415",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691763",
"telephone_number": "619-321-7521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1187 JOHN SIMS PKWY E",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325782752",
"telephone_number": "619-321-7521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT EYE & VISION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-19",
"last_updated": "2025-12-19",
"certification_date": "2025-12-18",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "DUSTIN",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "619-321-7521",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niceville, FL
- Gabriela R Schoolcraft
- Mark Edward Schroeder, M.D.
- Brian Schuessler, D.C.
- Elise Nicole Schuyten, OTR/L
- Scott Beals DO PA (Dermatology Surgery Center)
- Cory Marcus Scott, P.T.
- Seabreeze Endodontics, PA
- Erika Steele Seagle, CPNP-PC
- Second Optometric Care of Florida PA (Palm Eye Care)
- Second Optometric Care of Florida PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.