DR. SHANNON DEWAYNE FOWLER (NPI# 1598756413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598756413 |
| Entity Type | Individual |
| Full Name | DR. SHANNON DEWAYNE FOWLER |
| Credential | O.D. |
| Practice Address |
4418 Commons Dr E Ste A Destin FL 32541-8406 |
| Practice Telephone | 8506543937 |
| Practice Fax Number | 8506541070 |
| Mailing Telephone | 8506543937 |
| Mailing Fax Number | 8506541070 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2011-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC3113 | FL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629498910 | Shannon Fowler | Behavioral Analyst | 2943 S 94th East Ave, Tulsa, OK 74129-6830 | 2014-04-24 |
| 1194099259 | Shannon K Fowler | Counselor | 1515 Doctors Dr Ste 16, Bossier City, LA 71111 | 2012-03-06 |
| 1134764608 | Shannon Marie Fowler | Registered Nurse | 201 Governors Dr Sw, Huntsville, AL 35801-5170 | 2019-11-08 |
| 1619378650 | Shannon Fowler | Psychologist | 1349 S Rochester Rd, Suite 220, Rochester Hills, MI 48307-3150 | 2014-09-09 |
| 1457654204 | Shannon Martin Fowler | Physician Assistant | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2010-12-17 |
| 1821107806 | Shannon Fowler | Speech-Language Pathologist | 222 Auburn St, Ste. 1g, Portland, ME 04103-6004 | 2006-08-30 |
| Street Address |
4418 COMMONS DR E STE A |
| City | DESTIN |
| State | FL |
| Zip Code | 32541-8406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902088677 | Shannon D. Fowler, Od, Pa | Optometrist | 4418 Commons Dr E, Ste A, Destin, FL 32541-8406 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020574 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 | 2019-02-26 |
| 1932640471 | Kathryn Clower | Chiropractor | 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 | 2017-03-16 |
| 1881133148 | Danielle Mckinney | Physical Therapist | 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 | 2017-02-20 |
| 1417304643 | Coastal Pediatric Group | Pediatrics | 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 | 2016-05-17 |
| 1336563956 | Blu By The Sea,llc | Clinic/Center | 3399 Scenic Highway 98, Destin, FL 32541 | 2014-02-18 |
| 1740539535 | Courtney Breaux Mcgee | Physician Assistant | 155 Crystal Beach Drive #121, Destin, FL 32541 | 2012-09-07 |
| 1073861704 | Nathan Hall Dmd Pl | Dentist | 4484 Legendary Dr, Suite B, Destin, FL 32541 | 2012-08-28 |
| 1982991121 | Bayshore Retreat, LLC | Substance Abuse Rehabilitation Facility | 457 Cahoun Ave, Destin, FL 32541 | 2011-07-08 |
| 1457661605 | Destin Surgery Clinic, P.a. | Specialist | 415 Mountain Drive, Suite # 6, Destin, FL 32541 | 2010-10-20 |
| 1194032581 | Laura Mathisen | Behavioral Analyst | 3820 Misty Way, Destin, FL 32541 | 2010-09-07 |
| Find all providers in zip 32541 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487666921 | Rafael Oswaldo Mollega Jr. | Optometrist | 12671 Us Hwy 98 W, Ste 216, Destin, FL 32550 | 2006-08-13 |
| 1962424770 | Louis Leon Yardley Jr. | Optometrist | 16055 Emerald Coast Pkwy Unit 115, Destin, FL 32541-8531 | 2006-07-24 |
| 1518522622 | Clear Vision Eyecare Associates LLC | Optometrist | 16055 Emerald Coast Pkwy Unit 115, Destin, FL 32541-8531 | 2019-05-03 |
| 1033393319 | Lowery H Sparks | Optometrist | 15017 Emerald Coast Pkwy, Destin, FL 32541-3358 | 2007-12-23 |
| 1902088677 | Shannon D. Fowler, Od, Pa | Optometrist | 4418 Commons Dr E, Ste A, Destin, FL 32541-8406 | 2007-12-04 |
| 1972625721 | Dr. Rafael O. Mollega, Jr. of Northwest Florida, Inc | Optometrist | 12671 Us Hwy 98 W, Ste 216, Destin, FL 32550 | 2007-04-04 |
| 1710034301 | James A Swallow | Optometrist | 15017 Emerald Coast Pkwy, Destin, FL 32541-3358 | 2007-01-04 |
| 1609947696 | Destin Eye Care Pa | Optometrist | 15017 Emerald Coast Pkwy, Destin, FL 32541 | 2006-11-13 |
| 1194809178 | Kevin W Wells | Optometrist | 4012 Commons Dr W, Ste 110, Destin, FL 32541-8422 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466889 | Eye Doctors Optical Outlets, Pa | Optometrist | 2469 W Us Highway 90 Ste A27, Lake City, FL 32055-4738 | 2020-10-27 |
| 1376142828 | Edyta H Bogusz | Optometrist | 13073 Overstreet Rd, Windermere, FL 34786-6602 | 2020-10-25 |
| 1639778517 | Tran Hue Luong | Optometrist | 3520 36th St N, Saint Petersburg, FL 33713-1412 | 2020-10-21 |
| 1902405822 | Superior Eyes Optical, Inc | Optometrist | 6541 Superior Ave, Sarasota, FL 34231-5835 | 2020-10-21 |
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1386241297 | Simply See LLC | Optometrist | 1573 S Wickham Rd, Melbourne, FL 32904-3540 | 2020-10-04 |
| 1578170155 | Zoran Mihajlovic | Optometrist | 183 Se 10th Ct, Deerfield Beach, FL 33441-6654 | 2020-09-28 |
| 1245846237 | Eye Health of Fort Meyersllc | Optometrist | 2277 First St, Fort Myers, FL 33901-2959 | 2020-09-16 |
| 1740893692 | Drmaria Loulourgas Pa | Optometrist | 928 Curlew Rd, Dunedin, FL 34698-1901 | 2020-08-28 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.