Emerald Coast Optometry Associates, PA

NPI #1457657561 in Panama City Beach, Florida

Provider Information

NPI Number: 1457657561
Entity Type: Organization
Organization Name: Emerald Coast Optometry Associates, PA
Primary Specialty: Optometrist
Enumeration Date: Feb 7, 2011
Last Updated: Feb 7, 2011

Practice Location

Address: 11570 PANAMA CITY BEACH PKWY
Address 2: STE B
City: Panama City Beach
State: Florida
ZIP Code: 32407-2502
Phone: (850) 654-3937

Authorized Official

Name: DR. SHANNON DEWAYNE FOWLER, O.D.
Title: PRESIDENT
Phone: (850) 654-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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