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Organization
OKALOOSA OPHTHALMOLOGY PEDIATRIC & ADULT EYE CARE
Active
Organization
OKALOOSA OPHTHALMOLOGY PEDIATRIC & ADULT EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY KRUGER MD (OWNER)
(850) 826-2903
Entity
Organization
Contact information
Practice address
100 PRICE-GREGORY WAY STE 200, CRESTVIEW, FL 32536-5305
(850) 683-3937
(850) 683-0227
Mailing address
100 PRICE-GREGORY WAY, CRESTVIEW, FL 32536-5305
(850) 683-3937
(850) 683-0227
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017548800
—
FL
01
—
MYHJK
BCBS
FL
Enumeration date
04/21/2016
Last updated
09/16/2026
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