NPIMap

Organization Active NPI

Rory Bowman OD PC

  • Optometrist
  • Stony Brook, NY
National Provider Identifier
1124347729
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006653 Issued in NY
Legal business name
RORY BOWMAN OD PC
Practice address
125 Main St
Stony Brook, NY 11790
Phone
(631) 751-2801
Fax
(631) 751-2832
NPI assigned
May 21, 2010
Last updated
May 21, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
RORY BOWMAN OD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Dr. Rory Adam Bowman, OD
Title
President
Phone
(516) 697-5803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006653 NY Primary

Addresses

Primary practice location

125 Main St
Stony Brook, NY 11790

Mailing address

3198 Judith Drive
Bellmore, NY 11710
Phone (516) 697-5803

National Provider Directory

National Provider Directory
Part of
Rory Bowman OD PC

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1124347729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 JUDITH DRIVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "11710",
            "telephone_number": "516-697-5803",
            "fax_number": "516-785-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-751-2801",
            "fax_number": "631-751-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RORY BOWMAN OD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RORY BOWMAN OD PC",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "RORY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-697-5803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.