NPI 1194809178

Kevin W Wells, OD

Practitioner Optometrist Destin, FL

Practice location

Address: 4012 Commons Dr W STE 110, Destin, FL 32541-8422
Phone: (580) 223-5300
Fax: (580) 223-5356
Mailing address: 4012 Commons Dr W Suite 110, Destin, FL 32541-8422

Registered specialties (7)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2263 (OK)

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Corneal and Contact Management Optometrist

Eye and Vision Services Providers Taxonomy 152WC0802X Licence 2263 (OK)

Low Vision Rehabilitation Optometrist

Eye and Vision Services Providers Taxonomy 152WL0500X Licence 2263 (OK)

Pediatric Optometrist

Eye and Vision Services Providers Taxonomy 152WP0200X Licence 2263 (OK)

Sports Vision Optometrist

Eye and Vision Services Providers Taxonomy 152WS0006X Licence 2263 (OK)

Vision Therapy Optometrist

Eye and Vision Services Providers Taxonomy 152WV0400X Licence 2263 (OK)

Occupational Vision Optometrist

Eye and Vision Services Providers Taxonomy 152WX0102X Licence 2263 (OK)

Registry record

NPI: 1194809178
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2006
Record last updated: 21 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.