Individual provider Active NPI

Ben C Fowler, O.D.

  • Optometrist
  • Sheridan, WY
National Provider Identifier
1831408913
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8674385-9934 Issued in UT
Practice address
1450 Sugarland Dr
Sheridan, WY 82801-5730
Phone
(307) 673-5177
Fax
(307) 673-5170
NPI assigned
Oct 6, 2010
Last updated
Nov 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8674385-9934 UT Primary

Addresses

Primary practice location

1450 Sugarland Dr
Sheridan, WY 82801-5730

Mailing address

1450 Sugarland Dr
Sheridan, WY 82801-5730
Phone (307) 673-5177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150224000024 WY Practitioner - Optometry 4587980297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyovision Associates IncGroup PAC ID 7315033503, 3 clinicians

Practice addresses (Care Compare)

1450 Sugarland Dr
Sheridan, WY 82801-5730
Phone (307) 673-5177

Merit-based Incentive Payment System (MIPS)

Final score
98.86 of 100Reported as group
Quality
97.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8674385-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyovision Associates Inc Optometrist CurrentSince Jan 19, 2015 Accepting new patients

Locations

1450 Sugarland Dr
Sheridan, WY 82801
Phone (307) 673-5177

Interoperability endpoints

  • Direct secure messaging: bfowler@wyovision.eyeclinicdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1831408913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SUGARLAND DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015730",
            "telephone_number": "307-673-5177",
            "fax_number": "307-673-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SUGARLAND DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015730",
            "telephone_number": "307-673-5177",
            "fax_number": "307-673-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "BEN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-06",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "8674385-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.