Individual provider Active NPI

David Earl Bowin, O.D.

  • Optometrist
  • Lompoc, CA
National Provider Identifier
1487271243
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003611 Issued in CO
Practice address
425 W Central Ave
Lompoc, CA 93436-2805
Phone
(805) 736-2020
NPI assigned
Jun 28, 2020
Last updated
Jun 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003611 CO Primary

Addresses

Primary practice location

425 W Central Ave
Lompoc, CA 93436-2805

Mailing address

1076 Pacific St
San Luis Obispo, CA 93401-3624

Other practice location 1

2040 Viborg Rd
Solvang, CA 93463-2272
Phone (805) 688-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210625001242 CA Practitioner - Optometry 9739580960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

910 E Stowell Rd
Santa Maria, CA 93454-7001
Phone (805) 925-2637

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
97.86
Improvement activities
40
Cost
75.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003611COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Eyecare Medical Group a Medical Corporation Optometrist CurrentSince Mar 23, 2021 Accepting new patients
San Luis Obispo Eye Associates, a Medical Group Inc Optometrist Current Accepting new patients
Elite Eyecare Medical Group a Medical Corporation Optometrist Current Accepting new patients
San Luis Obispo Eye Associates, a Medical Group Incorporated Optometrist CurrentSince Aug 30, 2022 Accepting new patients
Elite Eyecare Medical Group a Medical Corporation CurrentSince Mar 23, 2021 Accepting new patients
Elite Eyecare Medical Group a Medical Corporation Optometrist Past Accepting new patients

Locations

425 W Central Ave
Lompoc, CA 93436
Phone (805) 736-2020

425 W Central Ave
Ste 102
Lompoc, CA 93436
Phone (805) 736-2020

590 Harbor St
Morro Bay, CA 93442
Phone (805) 772-1269

689 Tank Farm Rd
San Luis Obispo, CA 93401
Phone (805) 781-3937

4850 S Bradley Rd
Ste A2
Santa Maria, CA 93455
Phone (805) 937-9532

910 E Stowell Rd
Santa Maria, CA 93454
Phone (805) 925-2637

443 Marsh St
Sn Luis Obisp, CA 93401

689 Tank Farm Rd
Ste 100
Sn Luis Obisp, CA 93401
Phone (805) 781-3637

2040 Viborg Rd
Solvang, CA 93463
Phone (805) 319-9676

2040 Viborg Rd
Ste 240
Solvang, CA 93463
Phone (805) 688-0707

234 Heather Ct
Ste 102
Templeton, CA 93465
Phone (805) 434-5970

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: david.bowin@direct.shepardeye.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1487271243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 PACIFIC ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W CENTRAL AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934362805",
            "telephone_number": "805-736-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Viborg Rd",
            "address_purpose": "LOCATION",
            "city": "Solvang",
            "state": "CA",
            "postal_code": "934632272",
            "country_code": "US",
            "telephone_number": "805-688-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWIN",
        "first_name": "DAVID",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.