Individual provider Active NPI

Matthew Teutsch, OD

  • Optometrist
  • Pace, FL
National Provider Identifier
1942860804
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5697 Issued in FL
Practice address
5389 Woodbine Rd
Pace, FL 32571-8765
NPI assigned
Jun 13, 2019
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5697 FL Primary

Addresses

Primary practice location

5389 Woodbine Rd
Pace, FL 32571-8765

Mailing address

3290 Mountbatten Dr
Cantonment, FL 32533-4536
Phone (850) 512-7312

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
I20190730004372 FL Practitioner - Optometry 5496081382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2019
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)

5389 Woodbine Rd
Milton, FL 32571-8765
Phone (636) 200-4393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Jun 10, 2022 Accepting new patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Jun 10, 2022 Accepting new patients

Locations

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

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

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

Organizations & group practices 2

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1942860804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 MOUNTBATTEN DR",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325334536",
            "telephone_number": "850-512-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5389 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUTSCH",
        "first_name": "MATTHEW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

Verify at the official NPI Registry.