Kevin W Wells in Destin - Sports Vision

Kevin W Wells - NPI 1194809178

Kevin W Wells is a Sports Vision in Destin, Florida. Kevin W Wells practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for Kevin W Wells is 1194809178. The last update date is 2011-11-21.

Kevin W Wells's current location address is 4012 Commons Dr W, Destin, Florida. You can contact this provider via phone number 5802235300 and fax number 5802235356. The mailing address for Kevin W Wells is 4012 Commons Dr W, Destin, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin W Wells
Address 4012 Commons Dr W, Destin, Florida
Phone Number 5802235300
Fax Number 5802235356
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1194809178
Provider Enumeration Date 2006-10-25
Last Updated Date 2011-11-21

Provider Mailing Address Detail

Address 4012 Commons Dr W
City Destin
State Florida (FL)
Post Code 325418422
Phone Number 5802235300
Fax Number 5802235356

Provider's Primary Taxonomy Detail

Speciality Sports Vision
Taxonomy 152Ws0006X
Licence No 2263
Definition:
An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven

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FAQs about Kevin W Wells

What is the unique 10-digit identification code assigned to Kevin W Wells by the Centers for Medicare & Medicaid Services?

The Kevin W Wells has been issued the NPI (National Provider Identifier) 1194809178, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Kevin W Wells located?

The Kevin W Wells is located at 4012 Commons Dr W, Destin, FL 325418422.

What is Kevin W Wells's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kevin W Wells's area of specialization is Sports Vision, and the corresponding taxonomy code that categorizes this field of practice is 152Ws0006X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1194809178 to Kevin W Wells?

The Centers for Medicare & Medicaid Services originally issued the 1194809178 to Kevin W Wells on 2006-10-25.

As of what date were the Kevin W Wells's details last updated?

The information pertaining to the Kevin W Wells, including its address, specialty, and other details, was most recently updated on 2011-11-21.

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