Bryan R Bowen is a Optometrist in Marion, Illinois. Bryan R Bowen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Bryan R Bowen is 1588660633. The last update date is 2017-01-25.
Bryan R Bowen's current location address is 1200 W Deyoung St, Marion, Illinois. You can contact this provider via phone number 6189935686 and fax number 6189976250. The mailing address for Bryan R Bowen is 1200 W Deyoung St, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan R Bowen |
|---|---|
| Address | 1200 W Deyoung St, Marion, Illinois |
| Phone Number | 6189935686 |
| Fax Number | 6189976250 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1588660633 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2017-01-25 |
Provider Mailing Address Detail
| Address | 1200 W Deyoung St |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629594437 |
| Phone Number | 6189935686 |
| Fax Number | 6189976250 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2001018120 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46009730 | IL | -- |
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What is the unique 10-digit identifier code assigned to Bryan R Bowen by the Centers for Medicare & Medicaid Services?
The Bryan R Bowen has been issued the NPI (National Provider Identifier) 1588660633 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Bryan R Bowen located?
The Bryan R Bowen is located at 1200 W Deyoung St, Marion, IL 629594437.
What is the Bryan R Bowen's area of specialization and corresponding taxonomy classification?
The Bryan R Bowen's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588660633 to Bryan R Bowen?
The Centers for Medicare & Medicaid Services originally issued the 1588660633 to Bryan R Bowen on 2005-06-23.
As of what date were the details related to Bryan R Bowen most recently updated or revised?
The information pertaining to Bryan R Bowen, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-25.