Lisa M Bowen, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LISA M BOWEN, INC.

Doing business as

Optical Fashions

Practice address

3617 Dayton Xenia Rd
Beavercreek, OH 45432-2828

Phone

(937) 429-1795

NPI assigned

Oct 1, 2024

Last updated

Feb 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Michele Bowen, ODNPI 1962477679

Title

Owner

Phone

(937) 429-1795

Specialties & licenses 1

Addresses

Other names 1

• OPTICAL FASHIONS Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Lisa M Bowen Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lisa M Bowen, Inc

  • Optometrist
  • Beavercreek, OH
  • NPI 1548121759
  NPD tax ID
• Lisa M Bowen, Inc.

  • Optometrist
  • Beavercreek, OH
  • NPI 1851260699
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Michelle Bowen, O.D.

  • Optometrist
  • Beavercreek, OH
  • NPI 1962477679
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738454400000",
    "number": "1073331757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322828",
            "telephone_number": "937-429-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322828",
            "telephone_number": "937-429-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M BOWEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-429-1795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTICAL FASHIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caleb Liles, DO
• Rachel Elaine Lillard-Lewis
• Graly Lillard
• Mary Linkhart, LPN
• Lisa M Bowen, Inc
• Lisa M Bowen, Inc.
• Warren R Ljungren, MD
• Debra D Loewit, OD
• Lofinos Inc (Lofino's Pharmacy)
• Jayne Lillian Loftis

• Optometrist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.