Thera Ann Bowen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002261 Issued in CT

Practice address

202 Cherry St
Milford, CT 06460-3502

Phone

(203) 878-1236

Fax

(203) 876-5196

NPI assigned

Nov 1, 2006

Last updated

Mar 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians and Surgeons, PCGroup PAC ID 9133161128, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Physicians & Surgeons, PC

  • Ophthalmology Physician
  • Shelton, CT
  • NPI 1326188111
  Medicare reassignment Care Compare group NPD
• Eye Physicians & Surgeons, PC

  • Ophthalmology Physician
  • Milford, CT
  • NPI 1376624353
  NPD
• Eye Physicians & Surgeons, PC

  • Ophthalmology Physician
  • Westport, CT
  • NPI 1629547757
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1023196037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603502",
            "telephone_number": "203-878-1236",
            "fax_number": "203-876-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603502",
            "telephone_number": "203-878-1236",
            "fax_number": "203-876-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "THERA",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4123535",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004195063 GR#",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Dawn Bortnick
• Boscovs Department Store LLC (Boscov's Optical)
• Jennifer Marie Bosma, SLP
• Berthania Boursiquot, LPCA
• Danielle Bousquet, LMSW, CAC
• Boys & Girls Village
• Braces on Me, P.C.
• Alexander Robert Brack, LPC
• Robin M Brammer, DO
• Gregory Brea, MD

• Optometrist in Milford, CT
• Providers in Milford, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.