Brett P. Bowman OD., Professional Optometry Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 10289T Issued in CA

Legal business name

BRETT P. BOWMAN OD., PROFESSIONAL OPTOMETRY CORPORATION

Practice address

1810 Fullerton Ave
Suite 201
Corona, CA 92881-3103

Phone

(951) 737-0477

Fax

(951) 737-0565

NPI assigned

Oct 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brett P Bowman, O.D.NPI 1053464818

Title

Owner

Phone

(951) 737-0477

Specialties & licenses 1

Addresses

Tax ID family

Brett P Bowman O D Associates P S2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brett P Bowman O D Associates P S

  • Optometrist
  • Tustin, CA
  • NPI 1487980983
  NPD tax ID

Locations

Practitioners 1

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

• Brett Patrick Bowman, O.D.

  • Optometrist
  • Tustin, CA
  • NPI 1053464818
  NPD (past) Authorized official

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1336492586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVE",
            "address_2": "SUITE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813103",
            "telephone_number": "951-737-0477",
            "fax_number": "951-737-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVE",
            "address_2": "SUITE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813103",
            "telephone_number": "951-737-0477",
            "fax_number": "951-737-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT P. BOWMAN OD., PROFESSIONAL OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-737-0477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 10289T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brave Roots Health LLC
• William Bray
• Breathe Diagnostics, Inc.
• Nicholas Breckon
• Deallean Breland
• Emily Brewer
• Noah Bridwell
• Bright Pediatric Learning LLC
• Bright Steps ABA LLC
• Brightman Dental (Peter Brightman DMD, Inc)

• Optometrist in Corona, CA
• Providers in Corona, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.