Bowie Optometric Group

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BOWIE OPTOMETRIC GROUP

Practice address

3327 Superior LN
206 &207
Bowie, MD 20715-1922

Phone

(301) 262-1210

Fax

(301) 352-3568

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Karma A Sandle

Title

Office Manager

Phone

(301) 262-1210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407070840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 SUPERIOR LN",
            "address_2": "206 &207",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151922",
            "telephone_number": "301-262-1210",
            "fax_number": "301-352-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 SUPERIOR LN",
            "address_2": "206 &207",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151922",
            "telephone_number": "301-262-1210",
            "fax_number": "301-352-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWIE OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDLE",
        "authorized_official_first_name": "KARMA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-262-1210"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bowie, MD
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.