NPIMap

Organization Active NPI

Bowen Eye Care Clinic. LLC

  • Optometrist
  • Greeley, CO
National Provider Identifier
1750973764
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BOWEN EYE CARE CLINIC. LLC
Doing business as
See Life Family Vision Source
Practice address
2108 35TH Ave Ste a
Greeley, CO 80634-3955
Phone
(970) 356-0100
NPI assigned
Feb 10, 2021
Organization subpart
Yes
Parent organization
BOWEN EYE CARE CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Dr. Ronald Lee MearshaNPI 1205998119
Title
Partner
Phone
(970) 353-5455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2108 35TH Ave Ste a
Greeley, CO 80634-3955

Mailing address

2867 35TH Ave
Greeley, CO 80634-9407
Phone (970) 346-1411

Other identifiers 1

IdentifierTypeStateIssuer
04289731MedicaidCO

Other names 1

  • See Life Family Vision Source Doing business as

National Provider Directory

National Provider Directory
Part of
Bowen Eye Care Clinic LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1750973764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 35TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349407",
            "telephone_number": "970-346-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 35TH AVE STE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343955",
            "telephone_number": "970-356-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWEN EYE CARE CLINIC. LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOWEN EYE CARE CLINIC, LLC",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "MEARSHA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "970-353-5455",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04289731",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "See Life Family Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.