Individual provider Active NPI

John Michael Cummings, O.D.

  • Optometrist
  • Navarre, FL
National Provider Identifier
1922395441
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4657 Issued in FL
Practice address
8050 Navarre Pkwy
Navarre, FL 32566
Phone
(850) 939-3459
Fax
(850) 497-6219
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1646 SC
Optometrist 152W00000X OPC4657 FL Primary

Addresses

Primary practice location

8050 Navarre Pkwy
Navarre, FL 32566

Mailing address

15933 Clayton Rd
Suite 201
Ballwin, MO 63011-2172
Phone (636) 200-4393

Other identifiers 2

IdentifierTypeStateIssuer
006234400MedicaidFL
190FLOtherFLFLORIDA BLUE

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
I20120717000352 FL Practitioner - Optometry 6709042989 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1646SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Mar 1, 2016 Accepting new patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Mar 1, 2016 Accepting new patients
Sightrite Medical FL PLLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients

Locations

575 Lamar Ave
Brooksville, FL 34601
Phone (352) 799-2226

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

17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998

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

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

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

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

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

267 Broadway
Brooklyn, NY 11211

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Interoperability endpoints

  • Direct secure messaging: johncummings@direct.eyecare-partners.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1922395441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD",
            "address_2": "SUITE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "32566",
            "telephone_number": "850-939-3459",
            "fax_number": "850-497-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1646",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006234400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "190FL",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.