OrganizationActive
1162 Military Trail LLC
NPI 1215283379 · Optician · Destin, FL
1162 Military Trail LLC is a Optician organization in Destin, FL (NPI 1215283379).
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
Eye and Vision Services Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4143 Legendary Dr
Destin, FL 32541-5393
Phone: (850) 650-4370
Fax: (850) 650-0193
Street-level locationGet directions
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
Frequently asked questions
- What is 1162 Military Trail LLC's NPI number?
- 1162 Military Trail LLC's National Provider Identifier (NPI) is 1215283379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1162 Military Trail LLC?
- 1162 Military Trail LLC is classified in the NPPES registry as Optician (Eye and Vision Services Providers).
- Where is 1162 Military Trail LLC located?
- 1162 Military Trail LLC's practice location on file with NPPES is 4143 Legendary Dr, Destin, FL 32541-5393.
- What is 1162 Military Trail LLC's phone number?
- The practice phone number listed in the NPPES registry for 1162 Military Trail LLC is (850) 650-4370.
- Who is the authorized official for 1162 Military Trail LLC?
- The authorized official listed on 1162 Military Trail LLC's NPPES record is Galen Grayson, Owner/Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1162 Military Trail LLC's NPI active?
- Yes — 1162 Military Trail LLC's NPI (1215283379) is active in the NPPES registry as of the last update on 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.