Organization Active NPI

Bowers Optometry, PA

  • Optometrist
  • Garner, NC
National Provider Identifier
1417109125
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1454 Issued in NC
Legal business name
BOWERS OPTOMETRY, PA
Practice address
2327 Timber Dr
Garner, NC 27529-2571
Phone
(919) 661-2957
Fax
(919) 661-2956
NPI assigned
Oct 14, 2008
Last updated
Feb 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Dr. Kimberly L Bowers, O.D.NPI 1437293743
Title
Owner
Phone
(919) 661-2957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1454 NC Primary

Addresses

Primary practice location

2327 Timber Dr
Garner, NC 27529-2571

Mailing address

2327 Timber Dr
Garner, NC 27529-2586
Phone (919) 661-2957

Other identifiers 1

IdentifierTypeStateIssuer
890905MMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081229000269 NC Part B Supplier - Clinic/Group Practice 7113089145 Receives reassigned benefits from 1 practitioner
Practice locations: Garner, NC

National Provider Directory

National Provider Directory

Locations

2327 Timber Dr
Garner, NC 27529
Phone (919) 661-2957

2678 Timber Dr
Garner, NC 27529
Phone (919) 661-2954

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1417109125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 TIMBER DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292586",
            "telephone_number": "919-661-2957",
            "fax_number": "919-661-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 TIMBER DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292571",
            "telephone_number": "919-661-2957",
            "fax_number": "919-661-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWERS OPTOMETRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-661-2957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890905M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.