The Eye Gallery-Destin Commons

LBN: 1162 Military Trail Llc
The Eye Gallery-Destin Commons is an health care organization with primary practice located at 4143 Legendary Dr , Destin FL 32541-5393. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. 1162 Military Trail Llc can be contacted via phone (850) 650-4370, or through Grayson, Galen via phone (704) 295-0001.

Contact Information

Primary practice address
4143 Legendary Dr Destin FL 32541-5393
Phone: (850) 650-4370
Fax: (850) 650-0193
Website:
Map and Directions
Authorized official contact:
Name: Grayson, Galen Doctor of Medicine (MD)
Phone: (704) 295-0001

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1215283379
LBN Legal business name 1162 Military Trail Llc
DBA Doing business as The Eye Gallery-Destin Commons
Authorized official Grayson, Galen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2012
Last updated Jul 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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