Johnny L Bowman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2365 Issued in AR

Practice address

200 Washington St Ste E
Purdy, MO 65734-8105

Phone

(417) 442-3020

Fax

(417) 442-3020

NPI assigned

Aug 19, 2005

Last updated

Jan 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Purdy Eyes Optometry, LLC

  • Optometrist
  • Purdy, MO
  • NPI 1740313840
  Authorized official Same address or phone
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1104818749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "PURDY",
            "state": "MO",
            "postal_code": "657340313",
            "telephone_number": "417-442-3020",
            "fax_number": "417-442-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON ST STE E",
            "city": "PURDY",
            "state": "MO",
            "postal_code": "657348105",
            "telephone_number": "417-442-3020",
            "fax_number": "417-442-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "JOHNNY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115015722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Bennett, FNP
• Beverly Bond
• Linda Marie Kee, M.S.W, L.C.S.W
• Magnolia Manor, Inc.
• Diane Mobley, LPC
• Purdy Eyes Optometry, LLC
• Purdy R-II Schools

• Optometrist in Purdy, MO
• Providers in Purdy, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.