Kreed Bowman OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KREED BOWMAN OD PLLC

Doing business as

Bowman Eye Care

Practice address

250 S Skyline Dr Ste 6
Idaho Falls, ID 83402-3292

Phone

(208) 419-5637

NPI assigned

Feb 26, 2019

Organization subpart

No

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

Authorized official

Name

Kreed Bowman, ODNPI 1093168767

Title

Doctor

Phone

(208) 346-1274

Specialties & licenses 1

Addresses

Other names 1

• Bowman Eye Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kreed Bowman, O.D.

  • Optometrist
  • Rexburg, ID
  • NPI 1093168767
  NPD (past) Authorized official

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1255898292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 N YELLOWSTONE HWY",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425654",
            "telephone_number": "208-346-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S SKYLINE DR STE 6",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023292",
            "telephone_number": "208-419-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREED BOWMAN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "KREED",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "208-346-1274",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowman Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kylin Kovac, D.P.M.
• Kelsie Krahenbuhl
• Brianna Krainchich, PA-C
• Leland K Krantz II, M.D.
• Andrew Krause
• Kenneth E Krell, M.D.
• Devan Paul Kress, MPT
• Hailey Long Krieger
• Kristopher L. Walton & Associates, LLC
• Kayleigh Krupp, LPC

• Optometrist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.