Individual provider Active NPI

John Robert Davis, OD

  • Optometrist
  • Milton, FL
National Provider Identifier
1821084179
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1825 Issued in FL
Practice address
6096 Berryhill Rd
Milton, FL 32570-5062
Phone
(850) 623-4444
NPI assigned
Sep 22, 2005
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 1825 FL Primary

Addresses

Primary practice location

6096 Berryhill Rd
Milton, FL 32570-5062

Mailing address

1770 NW 122ND Ter
Pembroke Pines, FL 33026-1967
Phone (954) 433-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120106000249 FL Practitioner - Optometry 0941314603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight and Sun Eyeworks LLCGroup PAC ID 0042362527, 27 clinicians

Practice addresses (Care Compare)

6096 Berryhill Rd
Milton, FL 32570-5062
Phone (636) 200-4393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 1825FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Oct 16, 2025 Accepting new patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Oct 16, 2025 Accepting new patients
Jaime a. Balaguer, Jr., O.D., PA Optometrist Past Accepting new patients
Sight and Sun Eyeworks LLC Optometrist Past Accepting new patients

Locations

417A Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 315-8861

876 Gulf Breeze Pkwy
Gulf Breeze, FL 32561
Phone (850) 438-1277

6096 Berryhill Rd
Milton, FL 32570
Phone (850) 623-4444

8050 Navarre Pkwy
Navarre, FL 32566
Phone (850) 939-3459

5389 Woodbine Rd
Pace, FL 32571
Phone (850) 995-3232

12591 Sorrento Rd
Ste B
Pensacola, FL 32507
Phone (850) 438-1277

1308 W Nine Mile Rd
Ste 11
Pensacola, FL 32534
Phone (850) 479-2020

1308 W Nine Mile Rd
Ste 1112
Pensacola, FL 32534
Phone (850) 479-2020

5101 N Davis Hwy
Pensacola, FL 32503
Phone (850) 438-1277

5101 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 479-7379

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1821084179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 NW 122ND TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261967",
            "telephone_number": "954-433-1490",
            "fax_number": "954-433-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6096 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705062",
            "telephone_number": "850-623-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC  1825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.