Organization Active NPI

Streeter Vision PA

  • Optometrist
  • Crestview, FL
National Provider Identifier
1720795933
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STREETER VISION PA
Practice address
951 S Ferdon Blvd
Crestview, FL 32536-4507
Phone
(850) 331-3918
NPI assigned
Oct 28, 2022
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Thomas Allen Streeter, ODNPI 1447246590
Title
Owner
Phone
(850) 758-5981

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)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

951 S Ferdon Blvd
Crestview, FL 32536-4507

Mailing address

100 Swift Creek CT
Niceville, FL 32578-3710
Phone (850) 758-5981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070815000055 FL Part B Supplier - Clinic/Group Practice 0345332730 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Niceville, FL

National Provider Directory

National Provider Directory

Locations

951 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 374-7604

1103 John Sims Pkwy E
Niceville, FL 32578
Phone (850) 279-4361

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1720795933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SWIFT CREEK CT",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783710",
            "telephone_number": "850-758-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364507",
            "telephone_number": "850-331-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREETER VISION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-758-5981",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.