PATRICK FOWLER O.D. P.A. (NPI# 1801100623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801100623 |
| Entity Type | Organization |
| Organization Name | PATRICK FOWLER O.D. P.A. |
| Other Organization Name | FOWLER VISION CARE |
| Practice Address |
5501 S Olive St Pine Bluff AR 71603-7607 |
| Practice Telephone | 8707614761 |
| Practice Fax Number | 8705347362 |
| Mailing Telephone | 8707614761 |
| Mailing Fax Number | 8705347362 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |
| Authorized Official Name | DR. PHILLIP PATRICK FOWLER (OPTOMETRIST) |
| Authorized Official Telephone | 8707614761 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 152051722 | 05 |
| Other Name | Type Code |
|---|---|
| Fowler Vision Care | Doing Business As Name - Organization |
| Street Address |
5501 S OLIVE ST |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-7607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790702108 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5501 S Olive St, Pine Bluff, AR 71603-7607 | 2006-07-16 |
| 1033295027 | Wal-mart Stores, Inc. | Technician/Technologist | 5501 S Olive St, Pine Bluff, AR 71603-7607 | 2006-10-31 |
| 1366456972 | Phillip Patrick Fowler | Optometrist | 5501 S Olive St, Pine Bluff, AR 71603-7607 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750595757 | Dr. Clifford M Turner II Od | Optometrist | 116 East Second St., Carlisle, AR 72024-0859 | 2007-05-09 |
| 1316166697 | Icem E Brewer | Optometrist | 4201 N Shiloh Dr Ste 1235, Fayetteville, AR 72703-5303 | 2007-04-24 |
| 1568597409 | Kerry Childers, O.d., P.a. | Optometrist | 618 Julia Ave E, Wynne, AR 72396-3504 | 2007-02-22 |
| 1598836066 | Rick D Ray | Optometrist | 2 Riviera Dr, Booneville, AR 72927-0295 | 2006-11-13 |
| 1780773481 | Chris Deitrick Od Pa | Optometrist | 202 Peabody St, Mountain View, AR 72560-1460 | 2006-10-12 |
| 1194817676 | Robert Frank Castiglione | Optometrist | 787 6th St, Little Rock Air Force Base, AR 72099-4947 | 2006-09-29 |
| 1114906310 | Kerry K Childers | Optometrist | 723 Falls Blvd S, Ste A, Wynne, AR 72396-3508 | 2006-01-16 |
| 1124028493 | Charles G Crosslin | Optometrist | 7345 Highway 62 W, Gassville, AR 72635 | 2005-07-28 |
| 1669470183 | Chris Deitrick | Optometrist | 202 Peabody, Mountain View, AR 72560 | 2005-07-08 |
| 1669591129 | Richard Foster | Optometrist | 2000 John Harden Dr, Jacksonville, AR 72076-2730 | 2007-03-28 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
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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.