Purdy Eyes Optometry, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PURDY EYES OPTOMETRY, LLC

Practice address

200 Washington Street
Suite E
Purdy, MO 65734

Phone

(417) 442-3020

Fax

(417) 442-0101

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Johnny L Bowman, O.D.

Title

Owner

Phone

(870) 845-9423

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1740313840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 313",
            "city": "PURDY",
            "state": "MO",
            "postal_code": "65734",
            "telephone_number": "417-442-3020",
            "fax_number": "417-442-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WASHINGTON STREET",
            "address_2": "SUITE E",
            "city": "PURDY",
            "state": "MO",
            "postal_code": "65734",
            "telephone_number": "417-442-3020",
            "fax_number": "417-442-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURDY EYES OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-845-9423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Bond
• Johnny L Bowman, OD
• Linda Marie Kee, M.S.W, L.C.S.W
• Magnolia Manor, Inc.
• Diane Mobley, LPC
• Purdy R-II Schools

• All providers in Purdy, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.