Brett P Bowman O D Associates P S

Primary specialty

OptometristTaxonomy code 152W00000X

License

10289T Issued in CA

Legal business name

BRETT P BOWMAN O D ASSOCIATES P S

Practice address

1101 Bryan Ave
Ste. a-1
Tustin, CA 92780-4401

Phone

(714) 544-4810

Fax

(714) 368-9154

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

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

Title

Owner

Phone

(714) 544-4810

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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 OD., Professional Optometry Corporation

  • Optometrist
  • Corona, CA
  • NPI 1336492586
  NPD tax ID

Locations

Practitioners 2

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
  Medicare reassignment Authorized official
• Amber Hollins Voitenko-Ammerman, D.C.

  • Chiropractor
  • Tustin, CA
  • NPI 1710184122
  NPD (past)

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1487980983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BRYAN AVE",
            "address_2": "STE. A-1",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804401",
            "telephone_number": "714-544-4810",
            "fax_number": "714-368-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BRYAN AVE",
            "address_2": "STE. A-1",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804401",
            "telephone_number": "714-544-4810",
            "fax_number": "714-368-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT P BOWMAN O D ASSOCIATES P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-544-4810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10289T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin E Breitenbach, M.D.
• Juliet Brennan
• Tamara Sue Brenner, PH.D.
• Tram Bresnan
• Laura J Bretado, FNP-C
• Brian D Kim DDS Inc
• Bridge 2 Happiness
• Heather Bridge, LMFT
• Bright Star
• Bristol Park Medical Group, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.