Kathy Lynn Bowen, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001553 Issued in VA

Practice address

1300 Edwards Ferry Rd NE
Leesburg, VA 20176-3355

Phone

(703) 669-5064

NPI assigned

Jun 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clear Vision Solutions, Inc.

  • Optometrist
  • Medina, OH
  • NPI 1265179907
  NPD (past)
• Rose B. Dickerhoof, O.D.,Inc.

  • Optometrist
  • Medina, OH
  • NPI 1558553784
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1598926206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 EDWARDS FERRY RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763355",
            "telephone_number": "703-669-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 EDWARDS FERRY RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763355",
            "telephone_number": "703-669-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikole Lyn Boshonek, MSN, FNP-BC, DIPACLM
• Elizabeth Ann Bosmajian, PSYD,LPC
• Jaime Bosserman
• Jennifer Brooke Boudreau, MD
• Christopher Sullivan Bourke Jr., D.P.M.
• Ashley Lee Bowers, M.A., M.S., QMHP
• David Thomas Boyd, M.D., M.B.A.
• Rebecca Robinson Brabender, M.D.
• Jeanelle Marie Bradshaw, D.C.
• Akshar Ashok Brahmbhatt, RPH

• Optometrist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.