Destin Eye Care PA

NPI #1609947696 in Destin, Florida

Provider Information

NPI Number: 1609947696
Entity Type: Organization
Organization Name: Destin Eye Care PA
Primary Specialty: Optometrist
Enumeration Date: Nov 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 15017 EMERALD COAST PKWY
City: Destin
State: Florida
ZIP Code: 32541
Phone: (850) 650-0356

Authorized Official

Name: DR. LOWERY HOUSTON SPARKS JR., OD
Title: OPTOMETRIST OWNER
Phone: (850) 650-0356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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