Jane Purdy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5281 Issued in FL

Practice address

207 N Main St
Crestview, FL 32536-3543

Phone

(850) 683-0221

NPI assigned

Feb 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shalimar Eye Care, PAGroup PAC ID 2961811641, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Shalimar Eye Care, PA

  • Optometrist
  • Shalimar, FL
  • NPI 1164004065
  Medicare reassignment Care Compare group NPD
• Eye Care Physicians Inc

  • Ophthalmology Physician
  • Pensacola, FL
  • NPI 1942295514
  NPD (past)

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1841530086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N MAIN ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363543",
            "telephone_number": "850-683-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N MAIN ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363543",
            "telephone_number": "850-683-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "JANE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018989200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Progressive Chiropractic and Rehabilitation
• Kiana Provitt
• Publix Super Markets Inc
• Publix Super Markets Inc
• Joseph William Pugh, M.D.
• Quantum Hospital Pathology, LLC
• Stacy Lee Quinnell, LPN
• R&R Medspa and Wellness Center LLC
• Allison Rae Rader
• Teraysa Ragule

• Optometrist in Crestview, FL
• Providers in Crestview, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.