Bowersox Vision Center PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1301DT Issued in KY

Legal business name

BOWERSOX VISION CENTER PSC

Practice address

403 Washington St
Shelbyville, KY 40065-1127

Phone

(502) 647-3937

Fax

(502) 633-7326

NPI assigned

Feb 27, 2007

Last updated

Jan 22, 2025By 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. Daniel M Bowersox, ODNPI 1013972405

Title

Optometrist

Phone

(502) 647-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 9

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.

• Daniel Mark Bowersox, O.D.

  • Optometrist
  • Shelbyville, KY
  • NPI 1013972405
  Medicare reassignment NPD Authorized official
• Lauren McKinch Bowling, OD

  • Optometrist
  • Shelbyville, KY
  • NPI 1366963274
  Medicare reassignment NPD
• Leah Jipping

  • Student in an Organized Health Care Education/Training Program
  • Louisville, KY
  • NPI 1447006325
  Medicare reassignment NPD
• Taylor Myranda Greif, OD

  • Optometrist
  • Shelbyville, KY
  • NPI 1093447005
  Medicare reassignment
• Troy A Moats, O.D.

  • Optometrist
  • Louisville, KY
  • NPI 1528032794
  Medicare reassignment
• Lotus Tian En Schifsky, OD

  • Optometrist
  • Louisville, KY
  • NPI 1366127441
  Medicare reassignment
• Stuart Boyd Young, O.D.

  • Optometrist
  • Shelbyville, KY
  • NPI 1154706521
  Medicare reassignment
• Karoline L Munson, O. D.

  • Optometrist
  • Frankfort, KY
  • NPI 1881698504
  NPD (past)
• Amber McIntosh, O.D.

  • Optometrist
  • Denver, CO
  • NPI 1043266323
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1720115702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651127",
            "telephone_number": "502-647-3937",
            "fax_number": "502-633-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651127",
            "telephone_number": "502-647-3937",
            "fax_number": "502-633-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWERSOX VISION CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "BOWERSOX",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "502-647-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1301DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Bora
• Tatiana Danielle Borzotra, TCADC
• Allison Leigh Bostedo
• Melissa Bouldin
• Marjorie Bounds
• Daniel Mark Bowersox, O.D.
• Lauren McKinch Bowling, OD
• Jessica Renee Bradley, TCADC
• Viola Brambila, TCM, SUD
• Kimberlyn Breaden

• Optometrist in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.