OrganizationActive
Cabana Eyes Optical
NPI 1154867554 · Eyewear Supplier · Crestview, FL
Provider details
- NPI number
- 1154867554
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Edward Mitchell Jr
- Organization subpart
- Yes
- Authorized official
- Edward Mitchell, Owner/ Visual Resource Director(850) 758-0474
Specialties & taxonomies
Suppliers
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4100 S Ferdon Blvd
Suite B5
Crestview, FL 32536-5252
Phone: (850) 758-0474
Fax: (850) 826-0057
Street-level locationGet directions
Mailing address
4100 S Ferdon Blvd
Crestview, FL 32536-5252
Registry dates
- Enumerated
- 2017-01-10
- Last updated
- 2019-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.