# OKALOOSA OPHTHALMOLOGY PEDIATRIC & ADULT EYE CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831543362
- **Authorized official:** TIFFANY KRUGER MD (OWNER)
- **Authorized official phone:** (850) 826-2903

## Contact information

- **Practice address:** 100 PRICE-GREGORY WAY STE 200, CRESTVIEW, FL 32536-5305
- **Practice address phone:** (850) 683-3937
- **Practice address fax:** (850) 683-0227
- **Mailing address:** 100 PRICE-GREGORY WAY, CRESTVIEW, FL 32536-5305
- **Mailing address phone:** (850) 683-3937
- **Mailing address fax:** (850) 683-0227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2016
- **Last updated:** 09/16/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 017548800 | — | FL |
| 01 | — | MYHJK | BCBS | FL |