Individual provider Active NPI

Jere Micah West, LDO

  • Optician
  • Chipley, FL
National Provider Identifier
1689507329
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO8439 Issued in FL
Practice address
1621 Main St
Chipley, FL 32428-5992
Phone
(850) 638-3214
Fax
(850) 638-7797
NPI assigned
Jun 3, 2026
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO8439 FL Primary

Addresses

Primary practice location

1621 Main St
Chipley, FL 32428-5992

Mailing address

1621 Main St
Chipley, FL 32428-5992
Phone (850) 638-3214

Other names 1

  • Micah West Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO8439FLMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1689507329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 MAIN ST",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324285992",
            "telephone_number": "850-638-3214",
            "fax_number": "850-638-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 MAIN ST",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324285992",
            "telephone_number": "850-638-3214",
            "fax_number": "850-638-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JERE",
        "middle_name": "MICAH",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO8439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAH",
            "last_name": "WEST",
            "credential": "LDO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chipley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.