1162 MILITARY TRAIL LLC NPI 1750638755

NPI Information

  • NPI: 1750638755
  • Provider Name: 1162 MILITARY TRAIL LLC
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Doing Business As: THE ARTFUL EYE-SEASIDE
  • Address: 25 CENTRAL SQUARE
    SANTA ROSA BEACH, FL
    ZIP 32459
  • Phone: (888) 264-4989

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NPI Details

1162 MILITARY TRAIL LLC is an optician technician technologist in Santa Rosa Beach, FL. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. 1162 MILITARY TRAIL LLC NPI is 1750638755. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Artful Eye-seaside.

The provider's business location address is:

25 CENTRAL SQUARE
SANTA ROSA BEACH, FL
ZIP 32459
Phone: (888) 264-4989
Fax: (850) 534-3022

The provider's authorized official is Galen Grayson .
The authorized official title is Owner/medical Director and has the following contact phone number (704) 295-0001.

The enumeration date for this NPI number is 8/8/2012 and was last updated on 8/8/2012.

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
1156FX1800XTechnician/TechnologistOpticianYes

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: 3/30/2025

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