Provider Demographics
NPI:1992985659
Name:EARL DOWDING
Entity type:Organization
Organization Name:EARL DOWDING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:C
Authorized Official - Last Name:DOWDIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:813-874-8724
Mailing Address - Street 1:4809 N ARMENIA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-1447
Mailing Address - Country:US
Mailing Address - Phone:813-874-8724
Mailing Address - Fax:813-877-3420
Practice Address - Street 1:4809 N ARMENIA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-1447
Practice Address - Country:US
Practice Address - Phone:813-874-8724
Practice Address - Fax:813-877-3420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-10
Last Update Date:2007-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC1847152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19025Medicare PIN