Individual provider Active NPI

Andrew Fowle, O.D.

  • Optometrist
  • Rockford, MI
National Provider Identifier
1215343124
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004839 Issued in MI
Practice address
120 Marcell Dr NE
Suite a
Rockford, MI 49341-1362
Phone
(616) 866-0140
NPI assigned
Jul 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004839 MI Primary

Addresses

Primary practice location

120 Marcell Dr NE
Suite a
Rockford, MI 49341-1362

Mailing address

120 Marcell Dr NE
Suite a
Rockford, MI 49341-1362
Phone (616) 866-0140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140811001863 MI Practitioner - Optometry 7517184849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fowle Eyecare Associates, PLCGroup PAC ID 7012329725, 3 clinicians

Practice addresses (Care Compare)

120 Marcell Dr NE
Suite a
Rockford, MI 49341-1362
Phone (616) 866-0140

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004839MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fowle Eyecare Associates PLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients

Locations

120 Marcell Dr NE
Ste A
Rockford, MI 49341
Phone (616) 866-0140

Organizations & group practices 1

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1215343124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MARCELL DR NE",
            "address_2": "SUITE A",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411362",
            "telephone_number": "616-866-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MARCELL DR NE",
            "address_2": "SUITE A",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411362",
            "telephone_number": "616-866-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLE",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

Verify at the official NPI Registry.