Individual provider Active NPI

Kristen Bowles-Johnson, O.D.

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1689947590
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008916 Issued in NY
Practice address
744 E 3Rd St
Bloomington, IN 47405-3603
Phone
(812) 855-8436
Fax
(812) 855-1683
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008916 NY Primary

Addresses

Primary practice location

744 E 3Rd St
Bloomington, IN 47405-3603

Mailing address

744 E 3Rd St
Bloomington, IN 47405-3603
Phone (812) 855-8436

Other names 1

  • Kristen Bowles Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Direct@IndianaUnivSchoolOfOptomBloomingtonIN.CompulinkDirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120928000494 TX Practitioner - Optometry 9830348259 Reassigns benefits to 1 organization
I20240521002570 IN Practitioner - Optometry 9830348259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

744 E 3Rd St
Bloomington, IN 47405-3603

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Optometrist Current Accepting new patients
University of Houston System Optometrist CurrentSince Sep 1, 2012 Accepting new patients
Indiana University CurrentSince Jun 3, 2024 Accepting new patients
University of Houston CurrentSince Sep 1, 2012 Accepting new patients
Indiana University Optometrist CurrentSince Jun 3, 2024 Accepting new patients

Locations

744 E 3rd St
Bloomington, IN 47405
Phone (812) 855-8436

800 E Atwater Ave
Bloomington, IN 47405
Phone (812) 855-4447

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

Interoperability endpoints

  • Direct secure messaging: direct@indianaunivschoolofoptombloomingtonin.compulinkdirect.com
  • Direct secure messaging: kbowlesjohnson178954@direct.urmc.rochester.edu

Organizations & group practices 5

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": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1689947590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053603",
            "telephone_number": "812-855-8436",
            "fax_number": "812-855-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053603",
            "telephone_number": "812-855-8436",
            "fax_number": "812-855-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES-JOHNSON",
        "first_name": "KRISTEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@IndianaUnivSchoolOfOptomBloomingtonIN.CompulinkDirect.com",
            "affiliation": "N",
            "endpointDescription": "IUSO direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "744 E 3rd St",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474053603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BOWLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.