Individual provider Active NPI

Laura Irene Bowitz, OD

  • Optometrist
  • Cheyenne, WY
National Provider Identifier
1881215465
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
430T Issued in WY
Practice address
1854 Dell Range Blvd
Cheyenne, WY 82009-4949
Phone
(307) 634-3937
NPI assigned
May 5, 2020
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14249346 UT
Optometrist 152W00000X 841 ND
Optometrist 152W00000X 430T WY Primary
Optometrist 152W00000X 4032 MN
Optometrist 152W00000X 4616 OR
Optometrist 152W00000X 2025054263 MO

Addresses

Primary practice location

1854 Dell Range Blvd
Cheyenne, WY 82009-4949

Mailing address

1854 Dell Range Blvd
Cheyenne, WY 82009-4949

Other practice location 1

340 Kelley Pkwy
Mexico, MO 65265-3811
Phone (573) 582-1234

Other practice location 2

2043 College Way
Forest Grove, OR 97116-1756
Phone (503) 352-6151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, UT, MN, MO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220504000027 OR Practitioner - Optometry 1759705791 Reassigns benefits to 1 organization
I20251121001811 UT Practitioner - Optometry 1759705791 Reassigns benefits to 1 organization
I20251201001098 MN Practitioner - Optometry 1759705791 Reassigns benefits to 1 organization
I20260209002279 MO Practitioner - Optometry 1759705791 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Vermont Dr
New Hyde Park, NY 11042-1128

1979 Marcus Ave
New Hyde Park, NY 11042-1076

4771 Alder Cove Rd W
Tillamook, OR 97141-9304

5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1188

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4032MNMDMarriage & Family Therapist
2025054263MOMDOptometrist
841NDMDOptometrist
14249346UTMDOptometrist
430TWYMDOptometrist
4616ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Missouri Behavioral Health Services, Inc CurrentSince Feb 10, 2026 Accepting new patients
Optometric Care of Oregon Optometrist CurrentSince Nov 13, 2025 Accepting new patients
East Central Missouri Behavioral Health Services, Inc CurrentSince Feb 10, 2026 Accepting new patients
International Eyecare Center Inc Optometrist CurrentSince Feb 10, 2026 Accepting new patients
Optometric Care of Oregon Optometrist Current Accepting new patients
Optometric Care of Oregon Optometrist CurrentSince Nov 13, 2025 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Feb 3, 2026 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Nov 7, 2025 Accepting new patients
Paige Hedgpath Odpc Optometrist CurrentSince Feb 10, 2026 Accepting new patients
Visionworks, Inc CurrentSince Nov 7, 2025 Accepting new patients
Desloge Vision Center Inc CurrentSince Feb 11, 2026 Accepting new patients
International Eyecare Center LLC Optometrist CurrentSince Feb 10, 2026 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Nov 19, 2025 Accepting new patients
Paige Hedgpath OD,PC Optometrist CurrentSince Feb 10, 2026 Accepting new patients
Coastal Eye Care LLC Optometrist Past Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

1178 Burnsville Ctr
#2036
Burnsville, MN 55306
Phone (952) 435-5011

1960 Market Dr
Stillwater, MN 55082
Phone (651) 439-3049

1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331

1133 N Desloge Dr
Desloge, MO 63601
Phone (573) 518-0001

138 S Main St
Gravois Mills, MO 65037
Phone (573) 280-2884

215 Progress Rd
Hannibal, MO 63401
Phone (573) 248-1616

101 N Range Line Rd
Spc 346
Joplin, MO 64801
Phone (417) 623-8620

8600 Ward Pkwy
Ste 710
Kansas City, MO 64114
Phone (816) 523-8882

1702 N Baltimore St
Kirksville, MO 63501
Phone (660) 665-5674

340 Kelley Pkwy
Mexico, MO 65265
Phone 5735821234 ext. 3017

1600 Mid Rivers Mall
Ste 2032
Saint Peters, MO 63376
Phone (636) 279-1638

2825 S Glenstone Ave
Ste F11
Springfield, MO 65804
Phone (417) 882-3692

207 Coburg Rd
Ste 105
Eugene, OR 97401
Phone (541) 338-4844

935 Royal Ave
Medford, OR 97504
Phone (541) 779-2211

1200 E Campbell Rd
Ste 108
Richardson, TX 75081
Phone (972) 370-5552

10317 S State St
Sandy, UT 84070
Phone (801) 572-4810

2731 S 5600 W
Ste E
West Valley City, UT 84120
Phone (385) 324-5641

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1881215465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094949",
            "telephone_number": "307-634-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Kelley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "MO",
            "postal_code": "652653811",
            "country_code": "US",
            "telephone_number": "573-582-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2043 College Way",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971161756",
            "country_code": "US",
            "telephone_number": "503-352-6151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWITZ",
        "first_name": "LAURA",
        "middle_name": "IRENE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "14249346",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "841",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "430T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4032",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4616",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2025054263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.