Shannon D. Fowler, Od, PA
NPI 1902088677ActiveOrganization· Optometrist· Destin, FL
Optometrist in Destin, Florida, registered in NPPES in December 2007. The authorized official on file is Shannon Fowler, O.D., President.
Overview
| NPI | 1902088677 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2007 |
| Last updated in NPPES | Mar 16, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OPC3113 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Optometrist providers in Destin
- 1518522622
- 1609947696
- 1972625721
- 1649550534
- 1265214258
- 1609623784
- 1427788587
- 1356498232
- 1003196783
- 1811963630
- 1841862356
- 1144901216