Organization
DESTIN EYE CARE PA
Active
Other names
Dr Lowery Houston Sparks Jr OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOWERY HOUSTON SPARKS JR. OD (OPTOMETRIST OWNER)
(850) 650-0356
Entity
Organization
Contact information
Practice address
15017 EMERALD COAST PKWY, DESTIN, FL 32541
(850) 650-0356
(850) 650-0355
Mailing address
15017 EMERALD COAST PKWY, DESTIN, FL 32541
(850) 650-0356
(850) 650-0355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC003285
FL
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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