Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1162 Military Trail LLC

Organization Optician · NPI 1215283379

1162 Military Trail LLC is an Optician in Destin, Florida. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4143 Legendary Dr
Destin, FL 32541-5393
Phone: (850) 650-4370
Fax: (850) 650-0193
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X

Record details

NPI number1215283379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Galen Grayson — Owner/Medical Director · (704) 295-0001
Other names The Eye Gallery-Destin Commons
NPI enumeratedJuly 26, 2012
Last updated in NPPESJuly 26, 2012
Mailing address4143 Legendary Dr, Destin, FL 32541-5393

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