OrganizationActive
Chequita Hilversum, PLLC
NPI 1407413628 · Optometrist · Chipley, FL
Provider details
- NPI number
- 1407413628
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Chequita Hilversum, Ambr/Managing Member(850) 819-9450
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1621 Main St
Chipley, FL 32428-5992
Phone: (850) 638-3214
Approximate (ZIP-level) locationGet directions
Mailing address
4738 Cherokee Heights Rd
Panama City, FL 32404-2023
Registry dates
- Enumerated
- 2019-05-22
- Last updated
- 2019-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.