Organization Active NPI

West Florida Optometry LLC

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1740975937
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WEST FLORIDA OPTOMETRY LLC
Practice address
5062 Mobile Hwy
Pensacola, FL 32506-3240
Phone
(850) 453-4373
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Tri Nguyen, ODNPI 1689057366
Title
Owner
Phone
(850) 453-4373

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5062 Mobile Hwy
Pensacola, FL 32506-3240

Mailing address

5062 Mobile Hwy
Pensacola, FL 32506-3240
Phone (850) 453-4373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230522002020 FL Part B Supplier - Clinic/Group Practice 9931565751 Receives reassigned benefits from 1 practitioner
Practice locations: Pensacola, FL
O20240104003563 FL DME Supplier - Physician - Optometrist 9931565751 Practice locations: Pensacola, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
West Florida Optometry LLC5062 Mobile Hwy, Pensacola, FL 32506-3240(850) 453-4373 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Apr 27, 2023

National Provider Directory

National Provider Directory

Locations

5062 Mobile Hwy
Pensacola, FL 32506
Phone (850) 453-4373

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1740975937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5062 MOBILE HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063240",
            "telephone_number": "850-453-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5062 MOBILE HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063240",
            "telephone_number": "850-453-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-453-4373",
        "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 Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.