DESTIN EYE CARE PA
NPI 1609947696
Optometrist in Destin, FL

Active since November 13, 2006
15017 EMERALD COAST PKWY, DESTIN, FL 32541(850) 650-0356(850) 650-0355 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Destin Eye Care Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTIN EYE CARE PA (NPI 1609947696), doing business as Dr Lowery Houston Sparks Jr Od, is a healthcare organization registered as an optometrist in Destin, Florida and active in the NPI registry since November 2006. The organization lists Lowery Houston Sparks, Optometrist Owner, as its authorized official.

NPPES Registry Identity

NPI1609947696
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDESTIN EYE CARE PA
Location Address15017 EMERALD COAST PKWYDestin, FL 32541
Mailing Address15017 Emerald Coast PkwyDestin, FL 32541 · (850) 650-0356 · Fax (850) 650-0355
Fax(850) 650-0355
Organization SubpartNo
Authorized OfficialLowery Houston SparksOptometrist Owner · (850) 650-0356
Enumeration DateNovember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1609947696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC003285
Definition
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.
15017 EMERALD COAST PKWY, Destin, FL 32541

Other Names 1

Former Legal Business NameDr Lowery Houston Sparks Jr Od

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destin Eye Care Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20120105000077Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Destin Eye Care PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1033393319
15017 EMERALD COAST PKWY
Destin, FL 32541
(850) 650-0356
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Destin Eye Care PA's NPI number?

The NPI number for Destin Eye Care PA is 1609947696. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider was formerly known as Dr Lowery Houston Sparks Jr Od.

Where is Destin Eye Care PA located?

Destin Eye Care PA is located at 15017 Emerald Coast Pkwy, Destin, FL 32541. The listed phone number is (850) 650-0356.

What is Destin Eye Care PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Destin Eye Care PA enrolled in Medicare?

Yes. Destin Eye Care PA is registered in the Medicare PECOS enrollment system.

When is Destin Eye Care PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Destin Eye Care PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Destin Eye Care PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Destin Eye Care PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.