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DESTIN OPHTHALMOLOGY PA NPI 1144254939


NPI Information

NPI: 1144254939
Provider Name: DESTIN OPHTHALMOLOGY PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
7700 US HIGHWAY 98 W
SUITE 201
SANTA ROSA BEACH, FL
ZIP 32459
Phone: (850) 622-0757
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DESTIN OPHTHALMOLOGY PA is an ophthalmology in Santa Rosa Beach, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DESTIN OPHTHALMOLOGY PA NPI is 1144254939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7700 US HIGHWAY 98 W
SUITE 201
SANTA ROSA BEACH, FL
ZIP 32459-270
Phone: (850) 622-0757
Fax: (850) 622-1978

The provider's authorized official is Priscilla G. Fowler .
The authorized official title is Owner/provider and has the following contact phone number (850) 622-0757.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 3/15/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyME90933FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15865700001MEDICARE NSCFLORIDA
2K6880MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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