Edie Bowman OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EDIE BOWMAN OD LLC

Doing business as

Colorado Vision Center Fort Collins

Practice address

2001 S Shields St Ste J1
Fort Collins, CO 80526-1837

Phone

(970) 206-0100

Fax

(970) 206-0300

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Laura A Paul, ABOC

Title

Optician/Office Manager

Phone

(970) 206-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colorado Vision Center Fort Collins Doing business as

Locations

Practitioners 5

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

• Craig Alan Asmussen, O.D.

  • Optometrist
  • Westminster, CO
  • NPI 1306960323
  NPD (past)
• William Rex Eland, O.D.

  • Optometrist
  • Berthoud, CO
  • NPI 1811088495
  NPD (past)
• Jennifer Everett, O.D.

  • Optometrist
  • Longmont, CO
  • NPI 1558673392
  NPD (past)
• Sara S Heffler, O.D.

  • Optometrist
  • Longmont, CO
  • NPI 1083639413
  NPD (past)
• Bethany Heinz, O.D.

  • Optometrist
  • Oshkosh, WI
  • NPI 1821174426
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811167158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE J1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261837",
            "telephone_number": "970-206-0100",
            "fax_number": "970-206-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE J1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261837",
            "telephone_number": "970-206-0100",
            "fax_number": "970-206-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIE BOWMAN OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTICIAN/OFFICE MANAGER",
        "authorized_official_telephone_number": "970-206-0100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99331241",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Vision Center Fort Collins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa C Eddy, MPT
• Joseph David Edelberg
• Edge Medical Services
• Edge Optics LLC
• Alexander Edgley, MSW
• Julie S Edmiston, PA C
• Hope J Edmonds, MD
• Daniel Eugene Edmondson, MD
• Emily Elizabeth Edmondson
• Eli Edwards

• Optometrist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.