Eye M.D. of Niceville LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME116522 Issued in FL

Legal business name

EYE M.D. OF NICEVILLE LLC

Practice address

1480 Hickory St
Suite #104
Niceville, FL 32578-8846

Phone

(850) 933-8318

NPI assigned

Nov 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel Jacob Ruttig, M.D.NPI 1295710127

Title

Principal Manager

Phone

(850) 933-8318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Eye MD of Niceville Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • Niceville, FL
  • NPI 1841884731
  NPPES parent name

Practitioners 2

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

• Nathaniel Jacob Ruttig, M.D.

  • Ophthalmology Physician
  • Niceville, FL
  • NPI 1295710127
  Medicare reassignment Care Compare group NPD Authorized official
• Heather Michele Weatherall, CRNA

  • Certified Registered Nurse Anesthetist
  • Panama City, FL
  • NPI 1275689648
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446336000000",
    "number": "1962875823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 HICKORY ST",
            "address_2": "SUITE #104",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788846",
            "telephone_number": "850-933-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 HICKORY ST",
            "address_2": "SUITE #104",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788846",
            "telephone_number": "850-933-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE M.D. OF NICEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A",
        "authorized_official_last_name": "RUTTIG",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRINCIPAL MANAGER",
        "authorized_official_telephone_number": "850-933-8318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME116522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Ernsberger, L.P.N.
• Patricia Lynn Etheridge, PT
• Ginny Rebecca Everton, PMHNP-BC
• Ewing Family Chiropractic
• Scott E Ewing, DC
• Eye MD of Niceville Surgery LLC
• F Duncan Scott MD PA
• F&H Inc
• Deana D Fagundes, M.S. CCC-SLP
• Sheryl Fain, CRNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; 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.