Individual provider Active NPI

Elizabeth Ann Bower, O.D.

  • Optometrist
  • Maumee, OH
National Provider Identifier
1578064168
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006622 Issued in OH
Practice address
1657 Holland Rd
Maumee, OH 43537-1661
Phone
(419) 891-1023
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006622 OH Primary

Addresses

Primary practice location

1657 Holland Rd
Maumee, OH 43537-1661

Mailing address

1657 Holland Rd
Maumee, OH 43537-1661
Phone (419) 891-1023

Other practice location 1

400 Independence Dr
Napoleon, OH 43545-9677
Phone (419) 599-4541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180320002791 OH Practitioner - Optometry 4183986730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Napoleon Family Vision and Contact Lens Center LLCGroup PAC ID 7416047030, 2 clinicians

Practice addresses (Care Compare)

1804 Oakwood Ave
Napoleon, OH 43545-9242
Phone (419) 599-4541

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006622OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Napoleon Family Vision and Contact Lens Center, LLC Optometrist CurrentSince Feb 28, 2018 Accepting new patients

Locations

1804 Oakwood Ave
Napoleon, OH 43545
Phone (419) 599-4541

400 Independence Dr
Napoleon, OH 43545
Phone (419) 599-4541

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1578064168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 HOLLAND RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371661",
            "telephone_number": "419-891-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 HOLLAND RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371661",
            "telephone_number": "419-891-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Independence Dr",
            "address_purpose": "LOCATION",
            "city": "Napoleon",
            "state": "OH",
            "postal_code": "435459677",
            "country_code": "US",
            "telephone_number": "419-599-4541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.