Organization Active NPI

Emerald Coast Vision Center

  • Optometrist
  • Destin, FL
National Provider Identifier
1265214258
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EMERALD COAST VISION CENTER
Practice address
16055 Emerald Coast Pkwy Unit 115
Destin, FL 32541-8531
Phone
(850) 862-9543
Fax
(850) 650-2053
NPI assigned
Oct 16, 2023
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rhonda Ayers HendrixNPI 1811963630
Title
Owner
Phone
(850) 862-9543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

16055 Emerald Coast Pkwy Unit 115
Destin, FL 32541-8531

Mailing address

16055 Emerald Coast Pkwy Unit 115
Destin, FL 32541-8531
Phone (850) 862-9543

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1265214258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 EMERALD COAST PKWY UNIT 115",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418531",
            "telephone_number": "850-862-9543",
            "fax_number": "850-650-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 EMERALD COAST PKWY UNIT 115",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418531",
            "telephone_number": "850-862-9543",
            "fax_number": "850-650-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "AYERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-862-9543",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.