Provider Demographics
NPI:1316084353
Name:BOWEN EYE ASSOCIATES
Entity type:Organization
Organization Name:BOWEN EYE ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-539-3900
Mailing Address - Street 1:2570 NORTHSHORE BLVD.
Mailing Address - Street 2:STE 200
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028
Mailing Address - Country:US
Mailing Address - Phone:972-539-3900
Mailing Address - Fax:972-539-7333
Practice Address - Street 1:2570 NORTHSHORE BLVD.
Practice Address - Street 2:STE 200
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028
Practice Address - Country:US
Practice Address - Phone:972-539-3900
Practice Address - Fax:972-539-7333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5377TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU74680Medicare UPIN
TXU66920Medicare UPIN