Samuel Todd Bowman in Ponte Vedra Beach - Optometrist

Samuel Todd Bowman - NPI 1871532754

Samuel Todd Bowman is a Optometrist in Ponte Vedra Beach, Florida. Samuel Todd Bowman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Samuel Todd Bowman is 1871532754. The last update date is 2018-03-22.

Samuel Todd Bowman's current location address is 120 A1a N Ste 101, Ponte Vedra Beach, Florida. You can contact this provider via phone number 9042809000 and fax number 9042804448. The mailing address for Samuel Todd Bowman is 120 A1a N Ste 101, Ponte Vedra Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel Todd Bowman
Address 120 A1a N Ste 101, Ponte Vedra Beach, Florida
Phone Number 9042809000
Fax Number 9042804448
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1871532754
Provider Enumeration Date 2006-06-06
Last Updated Date 2018-03-22

Provider Mailing Address Detail

Address 120 A1a N Ste 101
City Ponte Vedra Beach
State Florida (FL)
Post Code 320826626
Phone Number 9042809000
Fax Number 9042804448

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2264
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20126 FL BCBS
20126A BCBS

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FAQs about Samuel Todd Bowman

What is the unique 10-digit identification code issued to Samuel Todd Bowman by the Centers for Medicare & Medicaid Services?

The Samuel Todd Bowman has been assigned the NPI (National Provider Identifier) 1871532754 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Samuel Todd Bowman is physically located?

The Samuel Todd Bowman is physically situated at the following address: 120 A1A N Ste 101, Ponte Vedra Beach, FL, 320826626.

What is Samuel Todd Bowman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Samuel Todd Bowman is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1871532754 to Samuel Todd Bowman?

The Centers for Medicare & Medicaid Services originally issued the 1871532754 to Samuel Todd Bowman on 2006-06-06.

As of what date were the details pertaining to Samuel Todd Bowman last refreshed?

The information related to the Samuel Todd Bowman, including its address, specialty, and other relevant details, was last updated on 2018-03-22.

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