Patrick Fowler O.D. P.a.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

PATRICK FOWLER O.D. P.A.

Practice address

5501 S Olive St
Pine Bluff, AR 71603-7607

Phone

(870) 761-4761

Fax

(870) 534-7362

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Patrick Fowler, O.D.

Title

Optometrist

Phone

(870) 761-4761

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fowler Vision Care Doing business as

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1801100623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 S OLIVE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037607",
            "telephone_number": "870-761-4761",
            "fax_number": "870-534-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S OLIVE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037607",
            "telephone_number": "870-761-4761",
            "fax_number": "870-534-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK FOWLER O.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "870-761-4761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152051722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fowler Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ioannis Papayannis, M.D.
• Penny Shawn Parham, LCSW
• Latara Parris, BS, MHPP
• Michele Ann Pashkevich, MD
• Vibha M Patel, PTA
• Paul W Davis MD PA
• Rayna Penister
• Sarvani Devi Saranya Pentakota
• Charles Perrin, PHARMD
• Clayton Foster Perry, MD

• Corneal and Contact Management Optometrist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Corneal and Contact Management Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.