FOWLER OPTICAL INC (NPI# 1124131511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124131511 |
| Entity Type | Organization |
| Organization Name | FOWLER OPTICAL INC |
| Practice Address |
4224 Texas Blvd Texarkana TX 75503-3013 |
| Practice Telephone | 9037932166 |
| Practice Fax Number | 9037943222 |
| Mailing Telephone | 9037932166 |
| Mailing Fax Number | 9037943222 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. HAZEL FRANCES FOWLER (OWNER SEC TREASURER) |
| Authorized Official Telephone | 9037932166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 506633 | 01 |
| Street Address |
4224 TEXAS BLVD |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457311607 | Littleton Augustus Fowler Sr. | Optometrist | 4224 Texas Blvd, Texarkana, TX 75503-3013 | 2006-03-23 |
| 1376990523 | Lauren Brooke Hernandez | Optometrist | 4224 Texas Blvd, Texarkana, TX 75503-3013 | 2016-05-18 |
| 1538172267 | James Randall Glass | Optometrist | 4224 Texas Blvd, Texarkana, TX 75503-3013 | 2006-08-14 |
| 1629081724 | Texarkana Vision Group Pllc | Optometrist | 4224 Texas Blvd, Texarkana, TX 75503-3013 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134335102 | James Ryther | Technician/Technologist | 5602 Richmond Road, Suite 108, Texarkana, TX 75503 | 2007-05-15 |
| 1245313717 | Wal-mart Stores, Inc. | Technician/Technologist | 133 Arkansas Blvd, Texarkana, AR 71854-1963 | 2006-10-20 |
| 1194806547 | Wal-mart Stores Texas, Lp | Technician/Technologist | 4000 New Boston Rd, Texarkana, TX 75501-2819 | 2006-10-18 |
| 1699864397 | Patricia S. Mccormick | Technician/Technologist | 2323 Kennedy Ln, Texarkana, TX 75503-2536 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095271 | Quyen Ngo Nguyen | Technician/Technologist | 1830 S Mason Rd Ste 125, Katy, TX 77450-3240 | 2020-02-20 |
| 1710522479 | Mikel Rivera | Technician/Technologist | 314 N Walnut St Ste C, Sherman, TX 75090-0047 | 2019-11-16 |
| 1740822501 | Eyeglasses of Texas | Technician/Technologist | 6200 Bellaire Blvd Ste J, Houston, TX 77081-4902 | 2019-10-14 |
| 1013558840 | Cristian Villagomez | Technician/Technologist | 2128 Kazmeier Plz, Bryan, TX 77802-3414 | 2019-10-02 |
| 1104393339 | National Vision Inc | Technician/Technologist | 2525 W Anderson Ln Ste 150, Austin, TX 78757-1180 | 2018-10-25 |
| 1063987618 | Stephen Williams | Technician/Technologist | 701 Commerce St Ste 629, Dallas, TX 75202-4522 | 2018-10-10 |
| 1174007207 | National Vision Inc | Technician/Technologist | 3916 Kemp Blvd Ste K, Wichita Falls, TX 76308-2119 | 2018-09-25 |
| 1295217032 | Richard D Reyes | Technician/Technologist | 115 E Travis St Ste 100, San Antonio, TX 78205-1668 | 2018-08-29 |
| 1205316890 | Katherine Denney | Technician/Technologist | 202 W Main St Ste 200-107, Allen, TX 75013-8094 | 2018-08-14 |
| 1407332497 | National Vision Inc | Technician/Technologist | 3649 Catclaw Dr, Abilene, TX 79606-8249 | 2018-07-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.