Destin Eye Care PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC003285 Issued in FL

Legal business name

DESTIN EYE CARE PA

Practice address

15017 Emerald Coast Pkwy
Destin, FL 32541

Phone

(850) 650-0356

Fax

(850) 650-0355

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lowery Houston Sparks Jr., ODNPI 1033393319

Title

Optometrist Owner

Phone

(850) 650-0356

Specialties & licenses 1

Addresses

Other names 1

• Dr Lowery Houston Sparks Jr OD Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lowery H Sparks, O.D.

  • Optometrist
  • Destin, FL
  • NPI 1033393319
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609947696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15017 EMERALD COAST PKWY",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-650-0356",
            "fax_number": "850-650-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15017 EMERALD COAST PKWY",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-650-0356",
            "fax_number": "850-650-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "LOWERY",
        "authorized_official_middle_name": "HOUSTON",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "850-650-0356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC003285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Lowery Houston Sparks Jr OD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Destin Chiropractic, PLLC
• Destin Counseling and Consulting LLC
• Destin Counseling and Consulting LLC
• Destin Dental Care LLC
• Destin Dentistry, PLLC
• Destin Health Care Associates LLC
• Destin Housecalls, LLC
• Destin Ophthalmology, PA
• Destin Plastic Surgery
• Destin Primary Care Center

• Optometrist in Destin, FL
• Providers in Destin, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.