Okaloosa Ophthalmology Pediatric & Adult Eye Care

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OKALOOSA OPHTHALMOLOGY PEDIATRIC & ADULT EYE CARE

Practice address

1299 Industrial Dr
Suite 200
Crestview, FL 32539-8946

Phone

(850) 683-3937

Fax

(850) 683-0227

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Tiffany Kruger, MDNPI 1295981066

Title

Owner

Phone

(850) 826-2903

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Okaloosa Ophthalmology Pediatric Adult Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Okaloosa Ophthalmology Pediatric & Adult Eye Care

  • Ophthalmology Physician
  • Crestview, FL
  • NPI 1841119450
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Okaloosa Ophthalmology Pediatric & Adult Eye Care

  • Ophthalmology Physician
  • Crestview, FL
  • NPI 1841119450
  NPPES parent name

Practitioners 4

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

• Tiffany Lee Kruger, D.O.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Crestview, FL
  • NPI 1295981066
  Medicare reassignment Care Compare group NPD Authorized official
• Gayla D Rowland, MD

  • Ophthalmology Physician
  • Crestview, FL
  • NPI 1962482927
  Medicare reassignment Care Compare group NPD
• Randyn Shamar McMillan, CO, LDO

  • Orthoptist
  • Crestview, FL
  • NPI 1124775168
  NPD (past)
• Kayla Moore

  • Optician
  • Crestview, FL
  • NPI 1558219931
  NPD (past)

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1831543362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 INDUSTRIAL DR",
            "address_2": "SUITE 200",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325398946",
            "telephone_number": "850-683-3937",
            "fax_number": "850-683-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 INDUSTRIAL DR",
            "address_2": "SUITE 200",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325398946",
            "telephone_number": "850-683-3937",
            "fax_number": "850-683-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKALOOSA OPHTHALMOLOGY PEDIATRIC & ADULT EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-826-2903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "MYHJK",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017548800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devin O'Hara, D.O.
• Dana Odom
• Okaloosa Cardiology P a
• Okaloosa Emergency Group LLC
• Okaloosa Eye Care PA
• Okaloosa Ophthalmology Pediatric & Adult Eye Care
• Okaloosa Pain Consultants P a
• Okaloosa Pulmonary & Sleep Medicine Clinic
• Okaloosa Youth Development Center
• Robert Kenneth Oldham, MD

• Ophthalmology Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.