Robert B. Bower, O.D., S.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1496 Issued in WI

Legal business name

ROBERT B. BOWER, O.D., S.C.

Practice address

2301 75TH St
Kenosha, WI 53143-1403

Phone

(262) 654-6005

NPI assigned

Mar 23, 2007

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Bruce Bower, ODNPI 1942308010

Title

President

Phone

26265476005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Robert Bruce Bower, OD

  • Optometrist
  • Kenosha, WI
  • NPI 1942308010
  Authorized official Same address or phone

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1629195672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531431403",
            "telephone_number": "262-654-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531431403",
            "telephone_number": "262-654-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B. BOWER, O.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "26265476005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38525800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent M Rizzo, MD
• Mitchell Robak, PHARMD
• Anne Robbins, C.T.P.
• Meredith Robbins, LPC, SAC
• Kimberly Roberson, PA
• Krystal Roberts, LCSW
• Laurie Ann Robertson, O.D.
• Amber Robinson, LPC-IT
• Barbara S Robinson, M.D.
• Dana Robinson

• Optometrist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Optometrist in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.