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SHANNON D. FOWLER, OD, PA
NPI 1902088677
Optometrist in Destin, FL

Active since December 04, 2007
4418 COMMONS DR E, STE A, DESTIN, FL 32541(850) 654-3937(850) 654-1070 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon D. Fowler, Od, Pa NPPES

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

SHANNON D. FOWLER, OD, PA (NPI 1902088677) is a healthcare organization registered as an optometrist in Destin, Florida and active in the NPI registry since December 2007. The organization lists Shannon Fowler, President, as its authorized official.

NPPES Registry Identity

NPI1902088677
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSHANNON D. FOWLER, OD, PA
Location Address4418 COMMONS DR E, STE ADestin, FL 32541-8406
Mailing Address4418 Commons Dr E, Ste ADestin, FL 32541-8406 · (850) 654-3937 · Fax (850) 654-1070
Phone(850) 654-3937
Fax(850) 654-1070
Organization SubpartNo
Authorized OfficialShannon FowlerPresident · (850) 654-3937
Enumeration DateDecember 4, 2007
Last NPPES UpdateMarch 16, 2010
✔ NPI 1902088677 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 · OPC3113
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.
4418 COMMONS DR E, Destin, FL 32541
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Other Identifiers 1

Medicare NSC1218600001FL

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

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 Shannon D. Fowler, Od, PA's NPI number?

The NPI number for Shannon D. Fowler, Od, PA is 1902088677. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Shannon D. Fowler, Od, PA located?

Shannon D. Fowler, Od, PA is located at 4418 Commons Dr E Ste A, Destin, FL 32541. The listed phone number is (850) 654-3937.

What is Shannon D. Fowler, Od, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon D. Fowler, Od, PA was last updated on March 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.