Individual provider Active NPI

Rory Adam Bowman

  • Optometrist
  • Oceanside, NY
National Provider Identifier
1093788945
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006653 Issued in NY
Practice address
3450 Long Beach Rd
Oceanside, NY 11572-5440
Phone
(516) 678-1616
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006653 NY Primary

Addresses

Primary practice location

3450 Long Beach Rd
Oceanside, NY 11572-5440

Mailing address

3450 Long Beach Rd
Oceanside, NY 11572-5440
Phone (516) 668-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040414001267 NY Practitioner - Optometry 9931193588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2169 Merrick Rd
Merrick, NY 11566-4720
Phone (516) 223-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006653NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Opticians Inc CurrentSince Sep 23, 2021 Accepting new patients
Everything Optical for Less, Inc. Optometrist CurrentSince May 5, 2018 Accepting new patients
Brooke Plaza Optical, Inc. Optometrist PastSince Mar 18, 2009 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
Empire Vision Center Inc Optometrist Past Accepting new patients

Locations

2169 Merrick Rd
Merrick, NY 11566
Phone (516) 223-1616

3450 Long Beach Rd
Oceanside, NY 11572
Phone (516) 678-1616

125 Main St
Stony Brook, NY 11790
Phone (631) 751-2801

Organizations & group practices 5

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1093788945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725440",
            "telephone_number": "516-668-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725440",
            "telephone_number": "516-678-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "RORY",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.