Brett Patrick Bowman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10289T Issued in CA

Practice address

1101 Bryan Ave
Ste. a-1
Tustin, CA 92780-4401

Phone

(714) 544-4810

Fax

(714) 368-9154

NPI assigned

Jan 18, 2007

Last updated

May 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Brett P Bowman O D Associates P S

  • Optometrist
  • Tustin, CA
  • NPI 1487980983
  Medicare reassignment Authorized official
• Brett P. Bowman OD., Professional Optometry Corporation

  • Optometrist
  • Corona, CA
  • NPI 1336492586
  NPD (past) Authorized official
• Jimmy K. Lee, M.D. Inc.

  dba California Vision Institute

  • Cornea and External Diseases Specialist Physician
  • Irvine, CA
  • NPI 1750143681
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1053464818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BRYAN AVE",
            "address_2": "STE. A-1",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804401",
            "telephone_number": "714-544-4810",
            "fax_number": "714-368-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BRYAN AVE",
            "address_2": "STE. A-1",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804401",
            "telephone_number": "714-544-4810",
            "fax_number": "714-368-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BRETT",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10289T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milos M. Boskovic, DDS
• Liane Botes, RBT
• Corinne Boulger, MA
• Julianne Lauren Boulineaux
• Anissa Bowers
• James Paul Boyd, D.D.S.
• Jennifer Boyd, MA
• Kristin Boyd, LMFT
• Karen M Bozinovski, SLP
• Alireza Bozorgi, M.D.,

• Optometrist in Tustin, CA
• Providers in Tustin, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.