BOWMAN OPTOMETRY, PA (NPI# 1790921260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790921260 |
| Entity Type | Organization |
| Organization Name | BOWMAN OPTOMETRY, PA |
| Other Organization Name | BOWMAN OPTOMETRY, PA |
| Practice Address |
120 A1a N Ste 101 Ponte Vedra Beach FL 32082-6609 |
| Mailing Address |
120 A1a N Suite 101 Ponte Vedra Beach FL 32082-6625 |
| Practice Telephone | 9042809000 |
| Practice Fax Number | 9042804448 |
| Mailing Telephone | 9042809000 |
| Mailing Fax Number | 9042804448 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2017-03-02 |
| Authorized Official Name | DR. SAMUEL TODD BOWMAN (OPTOMETRIST) |
| Authorized Official Telephone | 9042809000 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 72844A | 01 |
| RAILROAD MEDICARE | CI9975 | 01 |
| Other Name | Type Code |
|---|---|
| Bowman Optometry, PA | Doing Business As Name - Organization |
| Street Address |
120 A1A N STE 101 |
| City | PONTE VEDRA BEACH |
| State | FL |
| Zip Code | 32082-6609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871532754 | Samuel Todd Bowman | Optometrist | 120 A1a N Ste 101, Ponte Vedra Beach, FL 32082-6626 | 2006-06-06 |
| 1437330461 | Drs. Wood, Lanier & Bowman, Pa | Optometrist | 120 A1a N Ste 101, Ponte Vedra Beach, FL 32082-6609 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1568988129 | Mustafa Bakir | General Practice | 1102 A1a, Ponte Vedra Beach, FL 32082 | 2017-08-16 |
| 1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
| 1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
| 1528436060 | Robert Thompson II | Chiropractor | 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 | 2015-09-14 |
| 1144628439 | Integrative Medical Group, Usa, LLC | Clinic/Center | 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 | 2014-12-18 |
| 1811308901 | Janice Wachtel, Phd, LLC | Psychologist | 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 | 2014-05-12 |
| 1578991154 | Nicole Theiler | Counselor | 171 Canal Blvd, Ponte Vedra Beach, FL 32082 | 2013-10-17 |
| 1982948006 | Daisamma Varghese | Nurse Practitioner | 860 A1an, Ponte Vedra, FL 32082 | 2012-11-15 |
| Find all providers in zip 32082 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922191808 | Jamie Lynn Taylor | Optometrist | 880 A1a N Ste 13, Ponte Vedra Beach, FL 32082-3228 | 2006-10-02 |
| 1215032370 | Roger L. Wilson | Optometrist | 110 Solana Rd, Ponte Vedra Beach, FL 32082-2230 | 2006-09-14 |
| 1871532754 | Samuel Todd Bowman | Optometrist | 120 A1a N Ste 101, Ponte Vedra Beach, FL 32082-6626 | 2006-06-06 |
| 1154315125 | Karen Sue Wolf | Optometrist | 150 Professional Dr, Ste 300, Ponte Vedra Beach, FL 32082-6216 | 2005-09-07 |
| 1013916949 | Susan Rost Monahan | Optometrist | 150 Professional Dr Ste 300, Ponte Vedra Beach, FL 32082-7232 | 2005-07-21 |
| 1487146635 | Morgan Kickliter | Optometrist | 880 A1a N Ste 13, Ponte Vedra Beach, FL 32082-3228 | 2018-06-04 |
| 1114302346 | Jenna Rogers | Optometrist | 880 A1a N, Ste 13, Ponte Vedra Beach, FL 32082-3228 | 2015-07-29 |
| 1558618058 | Alissa Alterman | Optometrist | 150 Professional Dr, Suite 300, Ponte Vedra Beach, FL 32082-7231 | 2012-08-14 |
| 1952555427 | Vision Express | Optometrist | 880 A1a N, Suite 13, Ponte Vedra Beach, FL 32082-3220 | 2008-11-11 |
| 1437330461 | Drs. Wood, Lanier & Bowman, Pa | Optometrist | 120 A1a N Ste 101, Ponte Vedra Beach, FL 32082-6609 | 2007-11-19 |
| Find all providers in PONTE VEDRA BEACH | ||||
| City | PONTE VEDRA BEACH |
| Zip Code | 32082 |
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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.