Shannon Dewayne Fowler in Destin - Optometrist
Shannon Dewayne Fowler - NPI 1598756413
Shannon Dewayne Fowler is a Optometrist in Destin, Florida. Shannon Dewayne Fowler practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Shannon Dewayne Fowler is 1598756413. The last update date is 2011-02-07.
Shannon Dewayne Fowler's current location address is 4418 Commons Dr E, Destin, Florida. You can contact this provider via phone number 8506543937 and fax number 8506541070. The mailing address for Shannon Dewayne Fowler is 4418 Commons Dr E, Destin, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Dewayne Fowler |
|---|---|
| Address | 4418 Commons Dr E, Destin, Florida |
| Phone Number | 8506543937 |
| Fax Number | 8506541070 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1598756413 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2011-02-07 |
Provider Mailing Address Detail
| Address | 4418 Commons Dr E |
|---|---|
| City | Destin |
| State | Florida (FL) |
| Post Code | 325418406 |
| Phone Number | 8506543937 |
| Fax Number | 8506541070 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPC3113 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique identification code assigned to Shannon Dewayne Fowler by the Centers for Medicare & Medicaid Services?
The Shannon Dewayne Fowler has been issued the NPI (National Provider Identifier) 1598756413. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shannon Dewayne Fowler located?
The Shannon Dewayne Fowler is located at 4418 Commons Dr E, Destin, FL 325418406.
What is the Shannon Dewayne Fowler's specialty and taxonomy code?
The Shannon Dewayne Fowler's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598756413 to Shannon Dewayne Fowler?
The Centers for Medicare & Medicaid Services originally issued the 1598756413 to Shannon Dewayne Fowler on 2005-10-31.
When was the Shannon Dewayne Fowler's information last updated?
The Shannon Dewayne Fowler's information was last updated on 2011-02-07.
NPI Number: 1063415297
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