Individual provider Active NPI

Jacqueline Marie Bowen, O.D.

  • Optometrist
  • Greeley, CO
National Provider Identifier
1194706812
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1546 Issued in CO
Practice address
2867 35TH Ave
Suite a
Greeley, CO 80634-9407
Phone
(970) 346-1411
Fax
(970) 346-9703
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1546 CO Primary

Addresses

Primary practice location

2867 35TH Ave
Suite a
Greeley, CO 80634-9407

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20110511000293 CO Practitioner - Optometry 1153507009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Colorado PCGroup PAC ID 7113359415, 58 clinicians

Practice addresses (Care Compare)

3301 30TH St
Boulder, CO 80301-1401
Phone (303) 443-4311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1546COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Dec 20, 2021 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Dec 20, 2021 Accepting new patients
Bowen Eye Care Clinic. LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients

Locations

1550 S Potomac St
Ste 155
Aurora, CO 80012
Phone (303) 369-1020

18801 E Hampden Ave
Ste 176
Aurora, CO 80013
Phone (303) 690-6510

3301 30th St
Boulder, CO 80301
Phone (303) 443-4311

1645 28th St
Boulder, CO 80301
Phone (303) 443-4545

6881 S Yosemite St
Centennial, CO 80112
Phone (303) 393-8378

2867 35th Ave
Greeley, CO 80634
Phone (970) 346-1411

2867 35th Ave
Unit A
Greeley, CO 80634
Phone (970) 346-1411

200 W County Line Rd
Ste 150
Highlands Ranch, CO 80129
Phone (303) 794-2433

10521 S Parker Rd
Parker, CO 80134
Phone (303) 841-8243

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: drbowen@boweneyecare.eyefinity-direct.com
  • Direct secure messaging: drma@boweneyecare.eyefinity-direct.com

Organizations & group practices 4

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1194706812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2867 35TH AVE",
            "address_2": "SUITE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349407",
            "telephone_number": "970-346-1411",
            "fax_number": "970-346-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.