Active NPI
James Richard Bowen Jr., B.C.O., B.A.D.O.
- Ocularist
- Orlando, FL
National Provider Identifier
1053423699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- Practice address
- 10 South Bumby Ave
Orlando, FL 32803-3280 - Phone
- (407) 493-2603
- Fax
- (407) 246-0222
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | Primary |
Addresses
Primary practice location
10 South Bumby Ave
Orlando, FL 32803-3280
Mailing address
PO Box 361216
Melbourne, FL 32936-1216
Phone (407) 246-5451
Other practice location 1
2845 N Harbor City Blvd Ste 2-3
Melbourne, FL 32935-6217
Phone (321) 259-3847
Other names 1
- Rick Bowen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocular Prosthetics Lab Inc | Current | Accepting new patients | |
| Ocular Prosthetics Lab Inc | Ocularist | Current | Accepting new patients |
Locations
2845 N Harbor City Blvd
Ste 23
Melbourne, FL 32935
Phone (321) 259-3847
36 W Illiana St
Orlando, FL 32806
Phone (407) 246-5451
10 S Bumby Ave
Orlando, FL 32803
Phone (407) 228-9797
Organizations & group practices 2
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.
-
- Prosthetic/Orthotic Supplier
- Orlando, FL
- NPI 1750500930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1053423699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361216",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329361216",
"telephone_number": "407-246-5451",
"fax_number": "407-246-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SOUTH BUMBY AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033280",
"telephone_number": "407-493-2603",
"fax_number": "407-246-0222"
}
],
"practiceLocations": [
{
"address_1": "2845 N Harbor City Blvd Ste 2-3",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329356217",
"country_code": "US",
"telephone_number": "321-259-3847",
"fax_number": "407-246-0222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWEN",
"first_name": "JAMES",
"middle_name": "RICHARD",
"name_suffix": "Jr.",
"credential": "B.C.O., B.A.D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RICK",
"last_name": "BOWEN",
"credential": "B.C.O., B.A.D.O.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.