Austin Emory Fay, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6252 Issued in FL

Practice address

161 Hampton Point Dr Ste 3
St Augustine, FL 32092-3058

Phone

(904) 204-3345

NPI assigned

Jun 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Indiana University - School of Optometry, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• St Johns Eye Associates PA

  • Optometrist
  • St Augustine, FL
  • NPI 1710185798

  FL, Optometrist

  Medicare reassignment NPD
• St Johns Eye Associates PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1609502178
  NPD

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1982389433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 MACKENZIE PL",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116748",
            "telephone_number": "217-206-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HAMPTON POINT DR STE 3",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923058",
            "telephone_number": "904-204-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "AUSTIN",
        "middle_name": "EMORY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Marissa Faubion, RBT
• Valerie Faul, OTR/L
• Holly Faunce, DPT
• Shameika Favors-Stalling, APRN
• Fawzi Farha MD Inc
• Caitlin Elizabeth Fay, LCSW
• Jesse Fazzingo, ARNP
• Hayley Elizabeth Feagley
• Lina Lee Feaster, M.D.
• David Michael Feazell, PH.D.

• All providers in St Augustine, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.