Individual provider Active NPI

Jonathan Bowman, OD

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1033423017
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1585-618T Issued in LA
Practice address
10423 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone
(225) 923-0960
Fax
(225) 923-3736
NPI assigned
Aug 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1585-618T LA Primary

Addresses

Primary practice location

10423 Old Hammond Hwy
Baton Rouge, LA 70816-8264

Mailing address

10423 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone (225) 923-0960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20110217000381 LA Practitioner - Optometry 5395926877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiger Vision, L.L.C.Group PAC ID 0840292850, 10 clinicians
Bandb Eye Care LLCGroup PAC ID 5991116808, 2 clinicians

Practice addresses (Care Compare)

10423 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone (225) 923-0960

5237 Jones Creek Rd
Baton Rouge, LA 70817-2124
Phone (225) 755-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care & Cosmetic Center, LLC CurrentSince Jul 8, 2014 Accepting new patients
Eye Care and Cosmetic Center, LLC Optometrist CurrentSince Jul 8, 2014 Accepting new patients
Tiger Vision, L.L.C. CurrentSince Sep 29, 2010 Accepting new patients
B&B Eye Care LLC Optometrist CurrentSince Sep 18, 2020 Accepting new patients

Locations

5237 Jones Creek Rd
Baton Rouge, LA 70817
Phone (225) 755-3937

10423 Old Hammond Hwy
Baton Rouge, LA 70816
Phone (225) 923-0139

2421 Church St
Zachary, LA 70791
Phone (225) 654-1061

Networks

  • LA PPO C-SNP

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1033423017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10423 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168264",
            "telephone_number": "225-923-0960",
            "fax_number": "225-923-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10423 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168264",
            "telephone_number": "225-923-0960",
            "fax_number": "225-923-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "JONATHAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1585-618T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.