| Wells Vision And Laser Eye Center, Llc | |
|
4012 Commons Dr W Ste 110, Destin, FL 32541-8424 | |
| (850) 424-6677 | |
| (850) 424-7271 |
| Full Name | Wells Vision And Laser Eye Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4012 Commons Dr W Ste 110, Destin, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356498232 | NPI | - | NPPES |
| 1315210001 | Other | OK | DME SUPPLIER |
| 100763300A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2263 (Oklahoma) | Primary |
| 332H00000X | Eyewear Supplier | 2263 (Oklahoma) | Secondary |
| Provider Name | Kevin Wells |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194809178 PECOS PAC ID: 8729174586 Enrollment ID: I20111026000424 |
| Provider Name | Natalie Nicole Pelly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841862356 PECOS PAC ID: 4587060603 Enrollment ID: I20210914003775 |
| Mailing Address | Practice Location Address |
|---|---|
| Wells Vision And Laser Eye Center, Llc 4012 Commons Dr W Ste 110, Destin, FL 32541-8424 Ph: (850) 424-6677 | Wells Vision And Laser Eye Center, Llc 4012 Commons Dr W Ste 110, Destin, FL 32541-8424 Ph: (850) 424-6677 |
Heidi Marie Gonzalez, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4263 Legendary Dr, Ste J-105, Destin, FL 32541 Phone: 850-389-6132 Fax: 850-583-3632 | |
Dr. Lowery H Sparks, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 15017 Emerald Coast Pkwy, Destin, FL 32541 Phone: 850-650-0356 | |
Erica Chieun Shin, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 34940 Emerald Coast Pkwy, Destin, FL 32541 Phone: 850-389-6443 | |
Dr. Kevin W Wells, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4012 Commons Dr W, Ste 110, Destin, FL 32541 Phone: 580-223-5300 Fax: 580-223-5356 | |
Dr. Michael E Raim, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 501 Harbor Blvd, Suite D, Destin, FL 32541 Phone: 850-837-9161 Fax: 850-837-9162 | |
Dr. Michael E. Raim Od P.a. Inc Optometrist Medicare: Medicare Enrolled Practice Location: 501 Harbor Blvd, Suite D, Destin, FL 32541 Phone: 850-837-9161 Fax: 850-837-9162 | |
Emerald Coast Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16055 Emerald Coast Pkwy Unit 115, Destin, FL 32541 Phone: 850-862-9543 Fax: 850-650-2053 |