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1162 Military Trail LLC — NPI 1215283379, Destin, FL | NPI Central

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NPI 1215283379

OrganizationActive

1162 Military Trail LLC

NPI 1215283379 · Optician · Destin, FL

Provider details

NPI number: 1215283379
Entity type: Organization
Primary specialty: OpticianEye and Vision Services Providers
Organization subpart: No
Authorized official: Galen Grayson, Owner/Medical Director(704) 295-0001

Specialties & taxonomies

OpticianPrimary156FX1800X
Eye and Vision Services Providers

Practice location

4143 Legendary Dr

Destin, FL 32541-5393

Phone: (850) 650-4370

Fax: (850) 650-0193

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

4143 Legendary Dr

Destin, FL 32541-5393

Other names (DBA / former)

Doing business as: The Eye Gallery-Destin Commons

Registry dates

Enumerated: 2012-07-26
Last updated: 2012-07-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.